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Forest Haven Nursing & Rehabilitation Center, LLC

Organization Active NPI Skilled Nursing Facility · Jonesboro, LA

NPI 1366423550 · NPPES record last updated Sep 12, 2024

Key facts

NPI
1366423550
Entity type
Organization (NPI type 2)
Primary specialty
Skilled Nursing Facility 314000000X
License
712 (LA)
Legal business name
FOREST HAVEN NURSING & REHABILITATION CENTER, LLC
Practice address
171 Thrasher Dr
Jonesboro, LA 71251-4125
Phone
(318) 259-2729
Fax
(318) 259-2977
NPI assigned
Nov 7, 2005
Organization subpart
No

Authorized official

Name
Mr. Teddy Ray Price
Title
Managing Member
Phone
(318) 628-4116

Facilities with the same owner 23

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

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Affiliated clinicians 4

Clinicians who list this facility as an affiliation in Medicare Care Compare.

Medicare Care Compare: Nursing home

Listed as
Forest Haven Nursing & Rehab Ctr, LLC CCN 195463
Overall star rating
★★★☆☆ 3 of 5
Health inspections
★★★☆☆ 3 of 5
Staffing
★★★☆☆ 3 of 5
Quality measures
★★★☆☆ 3 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Apr 1, 1998
Medicare certification status
Active (Provider of Services file)
Certified beds
139 · 123.3 residents per day on average
Chain
Central Management Company (21 facilities)

Source: Medicare Care Compare, processed Aug 1, 2026.

Laboratory certificates & supplier records

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
19D0464353Forest Haven Nursing & Rehab Center
171 Thrasher Drive, Jonesboro, LA 71251		Certificate of waiverAug 31, 2026

Medicare participation

Medicare fee-for-service enrollment
Enrolled in LA

Skilled nursing facility certification: CCN 195463

Legal name
FOREST HAVEN NURSING & REHABILITATION CENTER, LLC
Doing business as
FOREST HAVEN NURSING & REHABILITATION CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Apr 1, 1998
Last certification
Apr 30, 2025
Beds
139
Ownership / control type
Corporation
Multi-facility organization
Central Management Company, LLc
Organization structure
LLC · Proprietary
Enrollment address
171 Thrasher Dr
Jonesboro, LA 71251-4125
Nursing home name
FOREST HAVEN NURSING & REHAB CTR, LLC
Affiliated entity
CENTRAL MANAGEMENT COMPANY

All disclosed owners & managing parties 26

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

NameRoleSinceShare

Individual 		Adp of the SNF Apr 7, 2025
Teddy D Price
Individual 		Operational/Managerial Control Mar 1, 2025
Adp of the SNF Mar 1, 2025
Jeffrey Lee Cantrell
Individual 		Adp of the SNF Oct 1, 2013
Holly Maumalanga
Individual 		5% Or Greater Indirect Ownership Interest Mar 31, 2025 5.64%
Adp of the SNF Mar 31, 2025
Prico, Inc
Organization · Winnfield, LA
Corporation, Owned by another organization or individual 		5% Or Greater Direct Ownership Interest Feb 1, 1998 49%
Adp of the SNF Feb 1, 2001
Teddy R Price
Individual 		5% Or Greater Indirect Ownership Interest Feb 1, 1998 75.78%
Operational/Managerial Control
Managing Member/Ceo		 Feb 1, 1998
Adp of the SNF Feb 1, 1998

Individual 		Adp of the SNF Mar 11, 2025

Individual 		Adp of the SNF Apr 1, 1998
Central Management Company, LLC
Organization · Winnfield, LA
LLC, Management services company, Chain home office 		Operational/Managerial Control Feb 1, 1998 100%
Adp of the SNF Jul 2, 2025

Individual 		Adp of the SNF Mar 11, 2025

Individual 		Adp of the SNF Apr 1, 1998

Organization · Lake Charles, LA
LLC 		Adp of the SNF Apr 7, 2025

Individual 		Adp of the SNF Mar 11, 2025

Individual 		Adp of the SNF Jan 1, 2010

Organization · Lake Charles, LA
LLC, Consulting firm 		Adp of the SNF Apr 7, 2025
Dawn Rogers
Individual 		Adp of the SNF Apr 1, 1998

Individual 		Adp of the SNF Jan 1, 2011

Organization · Winnfield, LA
LLC 		Adp of the SNF Jul 2, 2025
Sheila M Bolwahnn
Individual 		Adp of the SNF Dec 1, 2008
James Shelton
Individual 		Adp of the SNF Apr 1, 1998

Individual 		Adp of the SNF Mar 11, 2025
Kisatchie Health, LLC
Organization · Winnfield, LA
LLC, Owned by another organization or individual 		5% Or Greater Direct Ownership Interest Feb 1, 1998 51%
Adp of the SNF Feb 1, 2001

Individual 		Adp of the SNF Apr 7, 2025

Organization · Winnfield, LA
LLC, Holding company 		Adp of the SNF Feb 1, 2001
Sandra Billings
Individual 		Adp of the SNF Mar 11, 2025
Freda P Zimmerman
Individual 		5% Or Greater Indirect Ownership Interest Mar 31, 2025 12.39%
Adp of the SNF Mar 31, 2025

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20100112000278 LA Part a Provider - Skilled Nursing Facility 6800937988 Practice locations: Jonesboro, LA

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 712 LA Yes

Addresses

Primary practice location

171 Thrasher Dr
Jonesboro, LA 71251-4125

Mailing address

171 Thrasher Dr
Jonesboro, LA 71251-4125
Phone (318) 259-2729

Other identifiers

IdentifierTypeStateIssuer
1520934MedicaidLA

Other names

  • Forest Haven Nursing & Rehabilitation Center Doing business as

Electronic endpoints

TypeEndpointUseAffiliation
CONNECT URL https://www.cms.gov/research-statistics-data-systems/electronic-submission-medical-documentation-esmd/cms-health-information-handler Other CMS HIH

Other providers in Jonesboro, LA

All providers in Jonesboro, LA · Skilled Nursing Facility in Louisiana

Sources for this page

Verify at the official NPI Registry.