Active NPI
Teche Manor Nursing Home, LLC
Doing business as J Michael Morrow Memorial Nursing Home
- Skilled Nursing Facility
- Arnaudville, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 397
- Legal business name
- TECHE MANOR NURSING HOME, LLC
- Doing business as
- J Michael Morrow Memorial Nursing Home
- Practice address
- 883 Main St
Arnaudville, LA 70512-5716 - Phone
- (337) 754-7703
- Fax
- (337) 754-7702
- NPI assigned
- Oct 12, 2005
- Last updated
- Jul 29, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Wanda Hebert
- Title
- Adminstrator
- Phone
- (337) 754-7703
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 397 | LA | Primary |
Addresses
Primary practice location
883 Main St
Arnaudville, LA 70512-5716
Mailing address
883 Main St
Arnaudville, LA 70512-5716
Phone (337) 754-7703
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1515906 | Medicaid | LA | |
| 30265 | Other | LA | BLUECROSS BLUESHIELD |
Other names 1
- J Michael Morrow Memorial Nursing Home
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20080227000419 | LA | Part A Provider - Skilled Nursing Facility | 2062596190 | Practice locations: Arnaudville, LA |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1346238458. Details of each certification follow.
Skilled nursing facility certification: CCN 195385
- Legal name
- TECHE MANOR NURSING HOME, LLC
- Doing business as
- J. MICHAEL MORROW MEMORIAL NURSING HOME
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF distinct part
- Participating since
- Dec 2, 1996
- Last certification
- Jul 31, 2024
- Beds
- 175
- Ownership / control type
- Partnership
- Organization structure
- LLC
- Incorporated
- Apr 6, 1995 in LA
- Enrollment address
- 883 Main St
Arnaudville, LA 70512-5716 - Nursing home name
- J. MICHAEL MORROW MEMORIAL NURSING HOME
Care Compare: Nursing home
Medicare Care Compare- Listed as
- J. Michael Morrow Memorial Nursing Home
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Partnership
- Certified
- Dec 2, 1996
- Medicare certification status
- Active
- Certified beds
- 175
- Penalties (3 years)
- 1
National Provider Directory
National Provider DirectoryLocations
883 Main St
Arnaudville, LA 70512
Phone (337) 754-7703
Ownership & related parties
All disclosed owners & managing parties 14
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Patrick Morrow | Other | Dec 14, 2021 | 0.92% |
| Robert L Morrow | Other | Dec 14, 2021 | 1.85% |
| Darrell Morrow | 5% Or Greater Direct Ownership Interest | Dec 14, 2021 | 5.09% |
| Melissa Bienvenu | Other | Dec 14, 2021 | 1.85% |
| Ruth Laporte | Other | Dec 14, 2021 | 1.85% |
| Rebecca Cato | 5% Or Greater Direct Ownership Interest | Dec 14, 2021 | 8.33% |
| Paul Laporte | 5% Or Greater Direct Ownership Interest | Dec 14, 2021 | 16.66% |
| Shelda Tassin | 5% Or Greater Direct Ownership Interest | Dec 14, 2021 | 16.67% |
| Stephen Morrow | Other | Dec 14, 2021 | 1.85% |
| John Morrow | 5% Or Greater Direct Ownership Interest | Dec 14, 2021 | 5.09% |
| Millennium Bacchannal, LLC | 5% Or Greater Direct Ownership Interest | Dec 14, 2021 | 34.25% |
| Deborah Turner | Corporate Director | Jan 1, 2022 | 100% |
| W-2 Managing Employee | Jan 1, 2022 | 100% | |
| David Morrow | Other | Dec 14, 2021 | 1.85% |
| Harriet Lofton | Corporate Director | Jan 1, 2022 | 100% |
| W-2 Managing Employee | Dec 14, 2021 | 100% |
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Family Medicine Physician
- Arnaudville, LA
- NPI 1639104169
Affiliated clinicians 1
Clinicians who list this facility as an affiliation in Medicare Care Compare.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1129075200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1406592000000",
"number": "1346238458",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "883 MAIN ST",
"city": "ARNAUDVILLE",
"state": "LA",
"postal_code": "705125716",
"telephone_number": "337-754-7703",
"fax_number": "337-754-7702"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "883 MAIN ST",
"city": "ARNAUDVILLE",
"state": "LA",
"postal_code": "705125716",
"telephone_number": "337-754-7703",
"fax_number": "337-754-7702"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TECHE MANOR NURSING HOME, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2005-10-12",
"last_updated": "2014-07-29",
"status": "A",
"authorized_official_last_name": "HEBERT",
"authorized_official_first_name": "WANDA",
"authorized_official_title_or_position": "ADMINSTRATOR",
"authorized_official_telephone_number": "337-754-7703"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "LA",
"license": "397",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1515906",
"state": "LA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUECROSS BLUESHIELD",
"identifier": "30265",
"state": "LA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "J Michael Morrow Memorial Nursing Home",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Arnaudville, LA
- Anita Michelle Rose, L.O.T.R.
- Michael Duffy Rose, COTA
- Southside Family Clinic LLC (Arnaudville Family Clinic)
- Southwest Louisiana Primary Health Care Center Inc (Beau Chene High School Based Health Clinic)
- Fred D Stoute, PHARMACIST
- Thermomed DME, LLC
- Thrif-T-Way Pharmacy of Arnaudville Inc (Stoute's Thrifty Way)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.