Active NPI
Heritage Manor Stratmore Nursing & Rehabilitation Center LLC
Doing business as Heritage Manor of Stratmore
- Skilled Nursing Facility
- Shreveport, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 774
- Legal business name
- HERITAGE MANOR STRATMORE NURSING & REHABILITATION CENTER LLC
- Doing business as
- Heritage Manor of Stratmore
- Practice address
- 530 Stratmore Dr
Shreveport, LA 71115-3020 - Phone
- (318) 524-0187
- Fax
- (318) 524-2029
- NPI assigned
- Jun 6, 2006
- Last updated
- Nov 30, 2024
- 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
- Ms. Toni Parkinson
- Title
- Authorized Representative
- Phone
- (601) 709-1408
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 774 | LA | Primary |
Addresses
Primary practice location
530 Stratmore Dr
Shreveport, LA 71115-3020
Mailing address
530 Stratmore Dr
Shreveport, LA 71115-3020
Phone (318) 524-0187
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1521396 | Medicaid | LA |
Other names 1
- Heritage Manor of Stratmore
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20060713000304 | LA | Part A Provider - Skilled Nursing Facility | 3971516022 | Practice locations: Shreveport, LA |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1508805037. Details of each certification follow.
Skilled nursing facility certification: CCN 195486
- Legal name
- HERITAGE MANOR STRATMORE NURSING & REHABILITATION CENTER LLC
- Doing business as
- HERITAGE MANOR STRATMORE NURSING & REHABILITATION CENTER
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Apr 1, 2000
- Last certification
- Mar 6, 2025
- Beds
- 142
- Ownership / control type
- Corporation
- Multi-facility organization
- Pathway Management
- Most recent change of ownership
- Aug 1, 2006
- Organization structure
- LLC
- Enrollment address
- 530 Stratmore Dr
Shreveport, LA 71115-3020 - Nursing home name
- HERITAGE MANOR OF STRATMORE NURSING & REHAB CTR
- Affiliated entity
- THE BEEBE FAMILY
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Heritage Manor of Stratmore Nursing & Rehab Ctr
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Corporation
- Certified
- Apr 1, 2000
- Medicare certification status
- Active
- Certified beds
- 142
- Chain
- The Beebe Family
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 19D2012659 | Heritage Manor Stratmore Nursing & Rehabilitation | Certificate of waiver | Sep 7, 2026 |
National Provider Directory
National Provider DirectoryOwnership & related parties
All disclosed owners & managing parties 25
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 |
|---|---|---|---|
| Caddo Properties LLC | Adp of the SNF | Jan 1, 2025 | |
| QSST TR for Alison Beebe Sadler Danos and Her Descendants | 5% Or Greater Indirect Ownership Interest | Oct 1, 2023 | 27.09% |
| Adp of the SNF | Jan 1, 2025 | ||
| Robert Hernandez | Operational/Managerial Control | Nov 1, 2006 | |
| Adp of the SNF | Nov 1, 2006 | ||
| Account Management Services Inc | Operational/Managerial Control | Jan 1, 2010 | |
| Adp of the SNF | Jan 1, 2010 | ||
| Felicias 2016 Fam TR No 2 | 5% Or Greater Indirect Ownership Interest | Jan 1, 2023 | 12.5% |
| Joseph W Sadler | Adp of the SNF | Jan 1, 2025 | |
| Trans Med LLC | 5% Or Greater Direct Ownership Interest | Jan 1, 2010 | 100% |
| Operational/Managerial Control | Jan 1, 2010 | ||
| Elton G Beebe | 5% Or Greater Indirect Ownership Interest | Oct 1, 2023 | 20.83% |
| Operational/Managerial Control | Jan 1, 2010 | ||
| Adp of the SNF | Jan 1, 2025 | ||
| Alisons 2016 Fam TR No 2 | 5% Or Greater Indirect Ownership Interest | Oct 1, 2023 | 6.25% |
| Verdin Enterprises, LLC | Adp of the SNF | Nov 1, 2021 | |
| Aria Care Management LLC | Adp of the SNF | Aug 11, 2022 | |
| Toni H Parkinson | Corporate Officer | Nov 15, 2015 | |
| Operational/Managerial Control | Jan 1, 2010 | ||
| Adp of the SNF | Jan 1, 2010 | ||
| Provider Professional Services Inc | Operational/Managerial Control | Jan 1, 2010 | |
| Adp of the SNF | Jan 1, 2010 | ||
| Lena Heritage LLC | Adp of the SNF | Jan 1, 2025 | |
| Administrative Systems Inc | Operational/Managerial Control | Jan 1, 2010 | |
| Adp of the SNF | Jan 1, 2010 | ||
| Beebe 2013 Childrens TR NG | 5% Or Greater Indirect Ownership Interest | Oct 1, 2023 | 12.5% |
| David W Stallard | Operational/Managerial Control | Jan 1, 2010 | |
| Adp of the SNF | Jan 1, 2010 | ||
| Bobby L Beebe | Operational/Managerial Control | Jan 1, 2013 | |
| Adp of the SNF | Jan 1, 2013 | ||
| Providence Care LLC | Operational/Managerial Control | Jan 1, 2010 | |
| Adp of the SNF | Jan 1, 2010 | ||
| Tristar Rehab Inc | Operational/Managerial Control | Jan 1, 2024 | |
| Adp of the SNF | Jan 1, 2024 | ||
| Pathway Management of Louisiana LLC | Operational/Managerial Control | Jan 1, 2013 | |
| Adp of the SNF | Jan 1, 2013 | ||
| QSST TR for Felicia Beebe Stallard and Her Descendants | 5% Or Greater Indirect Ownership Interest | Oct 1, 2023 | 20.83% |
| Franshayla Whatley | Operational/Managerial Control | Jun 20, 2014 | |
| Pharmaceutical Consulting Services of America LLC | Adp of the SNF | Mar 17, 2009 | |
| Catherine Day | Operational/Managerial Control | Oct 5, 2005 | |
| Adp of the SNF | Oct 5, 2005 |
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
- Shreveport, LA
- NPI 1043247745
Adp of the SNF, Operational/Managerial Control
Facilities with the same owner 55
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
dba The Summit
- Nursing Facility/Intermediate Care Facility
- Alexandria, LA
- NPI 1952354086
Account Management Services Inc, Administrative Systems Inc, Pathway Management of Louisiana LLC, Providence Care LLC, Provider Professional Services Inc, QSST TR for Alison Beebe Sadler Danos and Her Descendants, QSST TR for Felicia Beebe Stallard
-
dba Riverview Care Center
- Skilled Nursing Facility
- Bossier City, LA
- NPI 1992581961
Pathway Management of Louisiana LLC, Providence Care LLC, Provider Professional Services Inc, QSST TR for Alison Beebe Sadler Danos and Her Descendants, QSST TR for Felicia Beebe Stallard and Her Descendants, Tristar Rehab Inc
-
dba Colonial Oaks Living Center
- Skilled Nursing Facility
- Metairie, LA
- NPI 1497360432
QSST TR for Alison Beebe Sadler Danos and Her Descendants, QSST TR for Felicia Beebe Stallard and Her Descendants
-
dba Landmark South Nursing & Rehabilition Center
- Skilled Nursing Facility
- Baton Rouge, LA
- NPI 1871541722
Account Management Services Inc, Administrative Systems Inc, Providence Care LLC, Provider Professional Services Inc, QSST TR for Alison Beebe Sadler Danos and Her Descendants, QSST TR for Felicia Beebe Stallard and Her Descendants, Tristar Rehab in
-
dba Forest Manor Nursing & Rehabilitation Center
- Skilled Nursing Facility
- Covington, LA
- NPI 1942258876
Account Management Services Inc, Administrative Systems Inc, Providence Care LLC, Provider Professional Services Inc, QSST TR for Alison Beebe Sadler Danos and Her Descendants, QSST TR for Felicia Beebe Stallard and Her Descendants, Tristar Rehab in
-
dba Ormond Nursing and Care Center
- Skilled Nursing Facility
- Destrehan, LA
- NPI 1770541088
Account Management Services Inc, Administrative Systems Inc, Provider Professional Services Inc, Tristar Rehab Inc
-
dba Landmark Nursing Center of Hammond
- Skilled Nursing Facility
- Hammond, LA
- NPI 1073571212
Account Management Services Inc, Administrative Systems Inc, Providence Care LLC, Provider Professional Services Inc, QSST TR for Alison Beebe Sadler Danos and Her Descendants, QSST TR for Felicia Beebe Stallard and Her Descendants, Tristar Rehab in
-
dba Heritage Manor of Baton Rouge II
- Skilled Nursing Facility
- Baton Rouge, LA
- NPI 1962469213
Account Management Services Inc, Administrative Systems Inc, Providence Care LLC, Provider Professional Services Inc, QSST TR for Alison Beebe Sadler Danos and Her Descendants, QSST TR for Felicia Beebe Stallard and Her Descendants, Tristar Rehab in
-
dba Heritage Manor Houma
- Skilled Nursing Facility
- Houma, LA
- NPI 1407804362
Account Management Services Inc, Administrative Systems Inc, Providence Care LLC, Provider Professional Services Inc, QSST TR for Alison Beebe Sadler Danos and Her Descendants, QSST TR for Felicia Beebe Stallard and Her Descendants, Tristar Rehab in
-
dba Heritage Manor of Mandeville
- Skilled Nursing Facility
- Mandeville, LA
- NPI 1679531362
Account Management Services Inc, Administrative Systems Inc, Alisons 2016 Fam TR No 2, Beebe 2013 Childrens TR NG, Felicias 2016 Fam TR No 2, Providence Care LLC, Provider Professional Services Inc, QSST TR for Alison Beebe Sadler Danos and Her Des
-
dba Senior Village Nursing and Rehabilitation Center
- Skilled Nursing Facility
- Opelousas, LA
- NPI 1821056136
Account Management Services Inc, Administrative Systems Inc, Pathway Management of Louisiana LLC, Providence Care LLC, Provider Professional Services Inc, QSST TR for Alison Beebe Sadler Danos and Her Descendants, QSST TR for Felicia Beebe Stallard
-
dba Heritage Manor South
- Skilled Nursing Facility
- Shreveport, LA
- NPI 1083662944
Account Management Services Inc, Administrative Systems Inc, Pathway Management of Louisiana LLC, Providence Care LLC, Provider Professional Services Inc, QSST TR for Alison Beebe Sadler Danos and Her Descendants, QSST TR for Felicia Beebe Stallard
Practitioners & affiliated clinicians
Practitioners 3
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.
-
- Internal Medicine Physician
- Shreveport, LA
- NPI 1952321820
-
- Internal Medicine Physician
- Shreveport, LA
- NPI 1043247745
-
- Internal Medicine Physician
- Shreveport, LA
- NPI 1699031237
Affiliated clinicians 2
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": "1149552000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1732924800000",
"number": "1508805037",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "530 STRATMORE DR",
"city": "SHREVEPORT",
"state": "LA",
"postal_code": "711153020",
"telephone_number": "318-524-0187",
"fax_number": "318-524-2029"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "530 STRATMORE DR",
"city": "SHREVEPORT",
"state": "LA",
"postal_code": "711153020",
"telephone_number": "318-524-0187",
"fax_number": "318-524-2029"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HERITAGE MANOR STRATMORE NURSING & REHABILITATION CENTER LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-06",
"last_updated": "2024-11-30",
"certification_date": "2024-11-30",
"status": "A",
"authorized_official_last_name": "PARKINSON",
"authorized_official_first_name": "TONI",
"authorized_official_title_or_position": "AUTHORIZED REPRESENTATIVE",
"authorized_official_telephone_number": "601-709-1408",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "LA",
"license": "774",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1521396",
"state": "LA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Heritage Manor of Stratmore",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Shreveport, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2024; 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.