Organization Active NPI

Diversified Healthcare Abbeville, LLC

Doing business as Maison du Monde Living Center

  • Skilled Nursing Facility
  • Abbeville, LA
National Provider Identifier
1356490049
Registry record updated Sep 13, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
891 Issued in LA
Legal business name
DIVERSIFIED HEALTHCARE ABBEVILLE, LLC
Doing business as
Maison du Monde Living Center
Practice address
4000 Rodeo Rd.
Abbeville, LA 70510
Phone
(337) 892-2332
Fax
(337) 893-5438
NPI assigned
Jan 10, 2007
Last updated
Sep 13, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Al Breaux Jr., NFA
Title
Administrator
Phone
(337) 892-2332

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 891 LA Primary

Addresses

Primary practice location

4000 Rodeo Rd.
Abbeville, LA 70510

Mailing address

4000 Rodeo Rd.
Abbeville, LA 70510
Phone (337) 892-2332

Other identifiers 1

IdentifierTypeStateIssuer
1521876MedicaidLA

Other names 1

  • Maison du Monde Living Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050511001000 LA Part A Provider - Skilled Nursing Facility 2668412396 Practice locations: Abbeville, LA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1356490049. Details of each certification follow.

Skilled nursing facility certification: CCN 195567

Legal name
DIVERSIFIED HEALTHCARE ABBEVILLE, LLC
Doing business as
MAISON DU MONDE LIVING CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jan 17, 2003
Last certification
Dec 18, 2024
Beds
128
Ownership / control type
Limited Liability Corporation
Multi-facility organization
Diversified Healthcare LLC
Organization structure
LLCProprietary
Enrollment address
4000 Rodeo Rd
Abbeville, LA 70510-4106
Nursing home name
MAISON DU MONDE LIVING CENTER

Care Compare: Nursing home

Medicare Care Compare
Listed as
Maison du Monde Living CenterCCN 195567 · All quality measures
Overall star rating
2 of 5
Health inspections
3 of 5
Staffing
3 of 5
Quality measures
1 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Jan 17, 2003
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
128118.0 residents per day on average
Penalties (3 years)
1Fines totaling $5,600

Processed by Care Compare on Aug 1, 2026.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
19D0461191Maison Du Monde Living Center4000 Rodeo Road, Abbeville, LA 70510Certificate of waiverJan 2, 2027

National Provider Directory

National Provider Directory

Locations

4000 Rodeo Rd
Abbeville, LA 70510
Phone (337) 684-2299

Ownership & related parties

All disclosed owners & managing parties 5

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Brian May Individual 5% Or Greater Direct Ownership Interest Mar 7, 2005 50%
Martin Stott Individual 5% Or Greater Direct Ownership Interest Mar 7, 2005 50%
Diversified Healthcare, LLC Organization, Baton Rouge, LA LLC, For-profit Operational/Managerial Control Mar 7, 2005 100%
William Cassidy Individual W-2 Managing Employee Sep 1, 2018 100%
Donna M Widner Individual Other Mar 7, 2005 100%

Facilities with the same owner 1

Facilities that share an organizational owner with 5% or greater ownership or operational control.

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.

Affiliated clinicians 2

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": "1168387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189641600000",
    "number": "1356490049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4000 RODEO RD.",
            "city": "ABBEVILLE",
            "state": "LA",
            "postal_code": "70510",
            "telephone_number": "337-892-2332",
            "fax_number": "337-893-5438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4000 RODEO RD.",
            "city": "ABBEVILLE",
            "state": "LA",
            "postal_code": "70510",
            "telephone_number": "337-892-2332",
            "fax_number": "337-893-5438"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVERSIFIED HEALTHCARE ABBEVILLE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-10",
        "last_updated": "2007-09-13",
        "status": "A",
        "authorized_official_last_name": "BREAUX",
        "authorized_official_first_name": "AL",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "337-892-2332",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "NFA"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "LA",
            "license": "891",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1521876",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Maison du Monde Living Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Abbeville, LA

Sources for this page

Verify at the official NPI Registry.