Organization Active NPI

Jefferson Healthcare Center LLC

Doing business as Jefferson Healthcare Center

  • Skilled Nursing Facility
  • Jefferson, LA
National Provider Identifier
1487692380
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
858 Issued in LA
Legal business name
JEFFERSON HEALTHCARE CENTER LLC
Doing business as
Jefferson Healthcare Center
Practice address
2200 Jefferson Hwy
Jefferson, LA 70121-3822
Phone
(504) 834-3144
Fax
(504) 832-3909
NPI assigned
Jun 3, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Kim Delatte
Title
Comptroller
Phone
(225) 664-6697

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 858 LA Primary

Addresses

Primary practice location

2200 Jefferson Hwy
Jefferson, LA 70121-3822

Mailing address

2200 Jefferson Hwy
Jefferson, LA 70121-3822
Phone (504) 834-3144

Other identifiers 1

IdentifierTypeStateIssuer
1510700MedicaidLA

Other names 1

  • JEFFERSON HEALTHCARE CENTER Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040123000783 LA Part A Provider - Skilled Nursing Facility 6800798422 Practice locations: Jefferson, LA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1487692380. Details of each certification follow.

Skilled nursing facility certification: CCN 195272

Legal name
JEFFERSON HEALTHCARE CENTER LLC
Doing business as
JEFFERSON HEALTHCARE CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jul 1, 1992
Last certification
May 1, 2025
Beds
222
Ownership / control type
Limited Liability Corporation
Multi-facility organization
Plantation Management
Organization structure
LLCProprietary
Incorporated
Nov 19, 2003 in LA
Enrollment address
2200 Jefferson Hwy
Jefferson, LA 70121-3822
Nursing home name
JEFFERSON HEALTHCARE CENTER
Affiliated entity
PLANTATION MANAGEMENT COMPANY

Care Compare: Nursing home

Medicare Care Compare
Listed as
Jefferson Healthcare CenterCCN 195272 · All quality measures
Overall star rating
1 of 5
Health inspections
2 of 5
Staffing
1 of 5
Quality measures
1 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Jul 1, 1992
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
222162.0 residents per day on average
Chain
Plantation Management Company16 facilities in the chain

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
19D0459101Jefferson Healthcare Center2200 Jefferson Hwy, Jefferson, LA 70121Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 8

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

NameRoleSinceShare
QSST Trust for Marshall Todd Quirk Organization, Denham Springs, LA 5% Or Greater Direct Ownership Interest Dec 31, 2012 15%
Cynthia S Quirk Individual 5% Or Greater Direct Ownership Interest Dec 31, 2012 27.5%
Kimberly W Delatte Individual Operational/Managerial Control Jan 23, 2004
QSST Trust for Scott Holden Quirk Organization, Denham Springs, LA 5% Or Greater Direct Ownership Interest Dec 31, 2012 15%
QSST Trust for Gene Oliver Quirk III Organization, Denham Springs, LA 5% Or Greater Direct Ownership Interest Dec 31, 2012 15%
Gene Quirk Individual 5% Or Greater Direct Ownership InterestManaging Member Dec 31, 2012 27.5%
Charles White Individual W-2 Managing EmployeeAdministrator Aug 29, 2016
Scott Quirk Individual Operational/Managerial Control Sep 16, 2010
OtherTrustee May 30, 2018 15%

Facilities with the same owner 9

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

Practitioners & affiliated clinicians

Practitioners 4

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 4

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": "1149292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1487692380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 JEFFERSON HWY",
            "city": "JEFFERSON",
            "state": "LA",
            "postal_code": "701213822",
            "telephone_number": "504-834-3144",
            "fax_number": "504-832-3909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 JEFFERSON HWY",
            "city": "JEFFERSON",
            "state": "LA",
            "postal_code": "701213822",
            "telephone_number": "504-834-3144",
            "fax_number": "504-832-3909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFERSON HEALTHCARE CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DELATTE",
        "authorized_official_first_name": "KIM",
        "authorized_official_title_or_position": "COMPTROLLER",
        "authorized_official_telephone_number": "225-664-6697"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "LA",
            "license": "858",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1510700",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "JEFFERSON HEALTHCARE CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Jefferson, LA

Sources for this page

Verify at the official NPI Registry.