Organization Active NPI

Heritage Manor Stratmore Nursing & Rehabilitation Center LLC

Doing business as Heritage Manor of Stratmore

  • Skilled Nursing Facility
  • Shreveport, LA
National Provider Identifier
1508805037
Registry record updated Nov 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
774 Issued in LA
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, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2024

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1521396MedicaidLA

Other names 1

  • Heritage Manor of Stratmore Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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
LLCProprietary
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 CtrCCN 195486 · All quality measures
Overall star rating
4 of 5
Health inspections
4 of 5
Staffing
3 of 5
Quality measures
2 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Apr 1, 2000
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
142119.7 residents per day on average
Chain
The Beebe Family48 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
19D2012659Heritage Manor Stratmore Nursing & Rehabilitation530 Stratmore Drive, Shreveport, LA 71115Certificate of waiverSep 7, 2026

National Provider Directory

National Provider Directory

Ownership & 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.

NameRoleSinceShare
Caddo Properties LLC Organization, Ridgeland, MS LLC Adp of the SNF Jan 1, 2025
QSST TR for Alison Beebe Sadler Danos and Her Descendants Organization, Ridgeland, MS 5% Or Greater Indirect Ownership Interest Oct 1, 2023 27.09%
Adp of the SNF Jan 1, 2025
Robert Hernandez Individual Operational/Managerial Control Nov 1, 2006
Adp of the SNF Nov 1, 2006
Account Management Services Inc Organization, Ridgeland, MS Corporation Operational/Managerial Control Jan 1, 2010
Adp of the SNF Jan 1, 2010
Felicias 2016 Fam TR No 2 Organization, Ridgeland, MS 5% Or Greater Indirect Ownership Interest Jan 1, 2023 12.5%
Joseph W Sadler Individual Adp of the SNF Jan 1, 2025
Trans Med LLC Organization, Ridgeland, MS LLC, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Jan 1, 2010 100%
Operational/Managerial Control Jan 1, 2010
Elton G Beebe Individual 5% Or Greater Indirect Ownership InterestIndirect Owner & Member of Trans Oct 1, 2023 20.83%
Operational/Managerial Control Jan 1, 2010
Adp of the SNF Jan 1, 2025
Alisons 2016 Fam TR No 2 Organization, Ridgeland, MS For-profit 5% Or Greater Indirect Ownership Interest Oct 1, 2023 6.25%
Verdin Enterprises, LLC Organization, Lisbon, LA LLC, Consulting firm Adp of the SNF Nov 1, 2021
Aria Care Management LLC Organization, Palatine, IL LLC, Consulting firm Adp of the SNF Aug 11, 2022
Toni H Parkinson Individual Corporate OfficerPresident - Administrative Syste Nov 15, 2015
Operational/Managerial Control Jan 1, 2010
Adp of the SNF Jan 1, 2010
Provider Professional Services Inc Organization, Ridgeland, MS Corporation Operational/Managerial Control Jan 1, 2010
Adp of the SNF Jan 1, 2010
Lena Heritage LLC Organization, Ridgeland, MS LLC Adp of the SNF Jan 1, 2025
Administrative Systems Inc Organization, Ridgeland, MS Corporation Operational/Managerial Control Jan 1, 2010
Adp of the SNF Jan 1, 2010
Beebe 2013 Childrens TR NG Organization, Ridgeland, MS 5% Or Greater Indirect Ownership Interest Oct 1, 2023 12.5%
David W Stallard Individual Operational/Managerial Control Jan 1, 2010
Adp of the SNF Jan 1, 2010
Bobby L Beebe Individual Operational/Managerial Control Jan 1, 2013
Adp of the SNF Jan 1, 2013
Providence Care LLC Organization, Mandeville, LA LLC, Management services company Operational/Managerial Control Jan 1, 2010
Adp of the SNF Jan 1, 2010
Tristar Rehab Inc Organization, Homosassa, FL Corporation Operational/Managerial Control Jan 1, 2024
Adp of the SNF Jan 1, 2024
Pathway Management of Louisiana LLC Organization, Ridgeland, MS LLC, Management services company Operational/Managerial Control Jan 1, 2013
Adp of the SNF Jan 1, 2013
QSST TR for Felicia Beebe Stallard and Her Descendants Organization, Ridgeland, MS 5% Or Greater Indirect Ownership Interest Oct 1, 2023 20.83%
Franshayla Whatley Individual Operational/Managerial Control Jun 20, 2014
Pharmaceutical Consulting Services of America LLC Organization, Baton Rouge, LA LLC, Consulting firm Adp of the SNF Mar 17, 2009
Catherine Day Individual 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.

Facilities with the same owner 55

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

View all 55

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.

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

Verify at the official NPI Registry.