Active NPI
DSRM Lafayette Opco LLC
- Skilled Nursing Facility
- Lafayette, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- DSRM LAFAYETTE OPCO LLC
- Doing business as
- Cornerstone at the Ranch
- Practice address
- 103 W Martial Ave
Lafayette, LA 70508-6719 - Phone
- (337) 981-5335
- Fax
- (337) 981-6391
- NPI assigned
- Sep 14, 2019
- 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
- Dawne Smith
- Title
- Manager
- Phone
- (318) 812-2140
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | Primary |
Addresses
Primary practice location
103 W Martial Ave
Lafayette, LA 70508-6719
Mailing address
1905 N 7TH St
West Monroe, LA 71291-4415
Phone (318) 812-2140
Other names 1
- Cornerstone at the Ranch
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20191030000555 | LA | Part A Provider - Skilled Nursing Facility | 7214269901 | Practice locations: Lafayette, LA |
Skilled nursing facility certification: CCN 195565
- Legal name
- DSRM LAFAYETTE OPCO LLC
- Doing business as
- CORNERSTONE AT THE RANCH
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF distinct part
- Participating since
- Dec 6, 2002
- Last certification
- Jul 10, 2024
- Beds
- 148
- Ownership / control type
- Corporation
- Multi-facility organization
- Paramount Healthcare Consultants
- Organization structure
- LLC
- Enrollment address
- 103 W Martial Ave
Lafayette, LA 70508-6719 - Nursing home name
- CORNERSTONE AT THE RANCH
- Affiliated entity
- PARAMOUNT HEALTHCARE CONSULTANTS
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Cornerstone at the Ranch
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Corporation
- Certified
- Dec 6, 2002
- Medicare certification status
- Active
- Certified beds
- 148
- Chain
- Paramount Healthcare Consultants
- Penalties (3 years)
- 3
National Provider Directory
National Provider DirectoryOwnership & related parties
All disclosed owners & managing parties 6
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 |
|---|---|---|---|
| Paramount Healthcare Consultants, LLC | Adp of the SNF | Apr 1, 2020 | |
| Cindy Walters | Operational/Managerial Control | May 20, 2024 | |
| Adp of the SNF | May 20, 2024 | ||
| DSRM Propco Lafayette, LLC | 5% Or Greater Mortgage Interest | Apr 1, 2020 | 100% |
| Adp of the SNF | Apr 1, 2020 | ||
| Cesar Augusto Ramirez Astacio | Adp of the SNF | Jul 5, 2023 | |
| Dawne R Smith | 5% Or Greater Direct Ownership Interest | Aug 1, 2019 | 50% |
| Adp of the SNF | Aug 1, 2019 | ||
| Fred Myrick | 5% Or Greater Direct Ownership Interest | Aug 1, 2019 | 50% |
| Adp of the SNF | Aug 1, 2019 |
Owners & managing parties with NPI records 1
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Internal Medicine Physician
- New Iberia, LA
- NPI 1336359033
Adp of the SNF
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- New Iberia, LA
- NPI 1336359033
Affiliated clinicians 1
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Internal Medicine Physician
- New Iberia, LA
- NPI 1336359033
Nursing home
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1568419200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1582675200000",
"number": "1396395018",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1905 N 7TH ST",
"city": "WEST MONROE",
"state": "LA",
"postal_code": "712914415",
"telephone_number": "318-812-2140"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "103 W MARTIAL AVE",
"city": "LAFAYETTE",
"state": "LA",
"postal_code": "705086719",
"telephone_number": "337-981-5335",
"fax_number": "337-981-6391"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DSRM LAFAYETTE OPCO LLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-09-14",
"last_updated": "2020-02-26",
"certification_date": "2020-02-26",
"status": "A",
"authorized_official_last_name": "SMITH",
"authorized_official_first_name": "DAWNE",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "318-812-2140"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Cornerstone at the Ranch",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Lafayette, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2020; 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.