NPIMap

Organization Active NPI

Northeast Louisana Veterans Home

  • Skilled Nursing Facility
  • Monroe, LA
National Provider Identifier
1467657304
Registry record updated Oct 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
NORTHEAST LOUISANA VETERANS HOME
Practice address
6700 Highway 165 N
Monroe, LA 71203-8753
Phone
(318) 362-4206
Fax
(318) 362-4241
NPI assigned
Jun 20, 2007
Last updated
Oct 30, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2019

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

Authorized official

Name
Mrs. Yolanda Holman, AO
Title
Assistant Cfo
Phone
(318) 362-4206

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X NU Primary

Addresses

Primary practice location

6700 Highway 165 N
Monroe, LA 71203-8753

Mailing address

6700 Highway 165 N
Monroe, LA 71203-8753
Phone (318) 362-4206

Other names 1

  • NE LA WAR VETERANS HOME Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080225000389 LA Part A Provider - Skilled Nursing Facility 9739263161 Practice locations: Monroe, LA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1467657304. Details of each certification follow.

Skilled nursing facility certification: CCN 195628

Legal name
NORTHEAST LOUISANA VETERANS HOME
Certification status
Active
Provider type (POS)
Nursing home – SNF (Medicare) only
Participating since
Dec 4, 2008
Last certification
Mar 6, 2025
Beds
156 (8 certified)
Ownership / control type
State
Multi-facility organization
Louisiana Department of Veterans Affairs
Organization structure
GovernmentProprietary
Incorporated
Jun 1, 1998 in LA
Enrollment address
6700 Highway 165 North
Monroe, LA 71203-8753
Nursing home name
NORTHEAST LA WAR VETERANS HOME

Care Compare: Nursing home

Medicare Care Compare
Listed as
Northeast la War Veterans HomeCCN 195628 · All quality measures
Overall star rating
5 of 5
Health inspections
5 of 5
Type
Medicare
Ownership
Government - State
Certified
Dec 4, 2008
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
81.7 residents per day on average

Processed by Care Compare on Aug 1, 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
State of la, Dept of Veterans Affairs Organization, Baton Rouge, LA 5% Or Greater Direct Ownership Interest Jun 1, 1998
Marquita Mihaliak Individual Corporate OfficerLong Term Care Administrator Jul 28, 2017
Operational/Managerial ControlLong Term Care Administrator Jul 28, 2017
Yolanda Holman Individual W-2 Managing EmployeeAssistant Cfo Nov 4, 2019

Facilities with the same owner 3

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

Practitioners & affiliated clinicians

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": "1182297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1572393600000",
    "number": "1467657304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6700 HIGHWAY 165 N",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712038753",
            "telephone_number": "318-362-4206",
            "fax_number": "318-362-4241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6700 HIGHWAY 165 N",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712038753",
            "telephone_number": "318-362-4206",
            "fax_number": "318-362-4241"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHEAST LOUISANA VETERANS HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-20",
        "last_updated": "2019-10-30",
        "status": "A",
        "authorized_official_last_name": "HOLMAN",
        "authorized_official_first_name": "YOLANDA",
        "authorized_official_title_or_position": "ASSISTANT CFO",
        "authorized_official_telephone_number": "318-362-4206",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "AO"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NE LA WAR VETERANS HOME",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "NE LA WAR VETERANS HOME",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Monroe, LA

Sources for this page

Verify at the official NPI Registry.