Organization Active NPI

2907 Basile SNF LLC

  • Skilled Nursing Facility
  • Basile, LA
National Provider Identifier
1366168973
Registry record updated Feb 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
2907 BASILE SNF LLC
Practice address
2907 Schambers St
Basile, LA 70515-5445
Phone
(337) 432-6663
NPI assigned
Oct 14, 2022
Last updated
Feb 16, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2026

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

Authorized official

Name
Charles A Moody III
Title
Authorized Agent
Phone
(337) 270-9090

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

2907 Schambers St
Basile, LA 70515-5445

Mailing address

2100 Verot School Rd Ste 4
Lafayette, LA 70508-6466
Phone (337) 270-9090

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20231128002738 LA Part A Provider - Skilled Nursing Facility 4385092535 Practice locations: Basile, LA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1366168973. Details of each certification follow.

Skilled nursing facility certification: CCN 195582

Legal name
2907 BASILE SNF LLC
Doing business as
MAISON D'ACADIENS CARE CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Apr 22, 2003
Last certification
Jun 18, 2025
Beds
78
Ownership / control type
Corporation
Multi-facility organization
Crossroads Area Management
Most recent change of ownership
Oct 1, 2023
Organization structure
LLCProprietary
Incorporated
Oct 4, 2022 in LA
Enrollment address
2907 E. Schambers Rd
Basile, LA 70515-5445
Nursing home name
MAISON D'ACADIENS CARE CENTER

Care Compare: Nursing home

Medicare Care Compare
Listed as
Maison D'Acadiens Care CenterCCN 195582 · All quality measures
Overall star rating
2 of 5
Health inspections
4 of 5
Staffing
1 of 5
Quality measures
1 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Apr 22, 2003
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
7862.8 residents per day on average

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
19D08885292907 Basile SNF LLC2907 East Schambers, Basile, LA 70515Certificate of waiverJul 7, 2026

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 3

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

NameRoleSinceShare
M5 Operations, LLC Organization, Lafayette, LA LLC, For-profit 5% Or Greater Direct Ownership Interest Oct 1, 2023 73.05%
Charles Moody Individual 5% Or Greater Indirect Ownership InterestAuthorized Agent Oct 1, 2023 73.05%
Corporate DirectorMember of Managing Member LLC/Au Oct 1, 2023 73.05%
Dwight Arceneaux Individual W-2 Managing EmployeeAdministrator Oct 1, 2023
Operational/Managerial ControlAdministrator Oct 1, 2023

Facilities with the same owner 2

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 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": "1665705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1771200000000",
    "number": "1366168973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 VEROT SCHOOL RD STE 4",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705086466",
            "telephone_number": "337-270-9090",
            "fax_number": "337-270-9038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2907 SCHAMBERS ST",
            "city": "BASILE",
            "state": "LA",
            "postal_code": "705155445",
            "telephone_number": "337-432-6663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "2907 BASILE SNF LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-14",
        "last_updated": "2026-02-16",
        "certification_date": "2026-02-16",
        "status": "A",
        "authorized_official_last_name": "MOODY",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "AUTHORIZED AGENT",
        "authorized_official_telephone_number": "337-270-9090",
        "authorized_official_name_suffix": "III"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Basile, LA

Sources for this page

Verify at the official NPI Registry.