Organization Active NPI

Specialty Extended Care Hospital of Monroe, LLC

Doing business as Specialty Hospital

  • Long Term Care Hospital
  • Monroe, LA
National Provider Identifier
1528385382
Registry record updated Nov 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care HospitalTaxonomy code 282E00000X
Legal business name
SPECIALTY EXTENDED CARE HOSPITAL OF MONROE, LLC
Doing business as
Specialty Hospital
Practice address
309 Jackson St
7TH Floor
Monroe, LA 71201-7407
Phone
(318) 327-4600
Fax
(318) 327-4082
NPI assigned
May 3, 2010
Last updated
Nov 6, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2024

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

Authorized official

Name
Chris Fox
Title
Group President
Phone
(337) 247-1801

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Hospital 282E00000X Primary

Addresses

Primary practice location

309 Jackson St
7TH Floor
Monroe, LA 71201-7407

Mailing address

1000 Chinaberry Dr Ste 200
Bossier City, LA 71111-2443
Phone (318) 684-6050

Other names 1

  • Specialty Hospital Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20100826000921 LA Part A Provider - Hospital 2860516929 Practice locations: Monroe, LA
O20101115000026 LA Part B Supplier - Clinic/Group Practice 2860516929 Receives reassigned benefits from 1 practitioner
Practice locations: Monroe, LA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1528385382. Details of each certification follow.

Hospital certification: CCN 192016

Legal name
SPECIALTY EXTENDED CARE HOSPITAL OF MONROE LLC
Doing business as
SPECIALTY HOSPITAL
Certification status
Active
Provider type (POS)
Hospital – Long-term
Participating since
Jul 1, 1995
Last certification
Oct 21, 2020
Beds
32
Ownership / control type
Private (for profit)
Organization structure
LLCProprietary
Incorporated
Mar 20, 2009 in LA
Enrollment address
309 Jackson St
FL 7
Monroe, LA 71201-7407
Other Hospital Practice Location
Hospital subgroups
Long-term

Care Compare: Long-term care hospital

Medicare Care Compare
Listed as
Specialty HospitalCCN 192016 · All quality measures
Ownership
For profit
Certified
Jul 1, 1995
Medicare certification status
ActiveFrom the Provider of Services file
Beds
32

National Provider Directory

National Provider Directory
Tax ID family
Specialty Extended Care Hospital of Monroe LLC4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

309 Jackson St
Fl 7
Monroe, LA 71201
Phone (318) 327-4600

Ownership & related parties

All disclosed owners & managing parties 16

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

NameRoleSinceShare
Robert Christopher Fox Individual 5% Or Greater Indirect Ownership Interest Feb 29, 2024 33%
Corporate Director Feb 29, 2024
KLW Assets LLC Organization, Pineville, LA LLC, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Feb 29, 2024 33.33%
Cleta D Munholland Individual W-2 Managing EmployeeAdministrator Nov 1, 2009
Operational/Managerial ControlAdministrator Nov 1, 2009
Suzanne Gras Individual Corporate OfficerBilling Office Manager Feb 29, 2024
Lauren B Wright Individual 5% Or Greater Indirect Ownership Interest Feb 29, 2024 16.67%
Christopher Wright Individual 5% Or Greater Indirect Ownership Interest Feb 29, 2024 33.33%
Corporate Director Feb 29, 2024
Rice Business Enterprises LLC Organization, Ruston, LA LLC, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Feb 29, 2024 10%
Priority Hospital Group LLC Organization, Bossier City, LA LLC Operational/Managerial Control Feb 29, 2024
Alexander a Rice Individual 5% Or Greater Indirect Ownership Interest Feb 29, 2024 10.5%
Rice Equity Group LLC Organization, Ruston, LA LLC, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Feb 29, 2024 23.33%
Jill Zuber Individual W-2 Managing EmployeeDirector of Nursing May 24, 2020
Christopher K Rice Individual 5% Or Greater Indirect Ownership Interest Feb 29, 2024 10.5%
Julie B Pittman Individual 5% Or Greater Indirect Ownership Interest Feb 29, 2024 5%
B & C Fox Enterprises LLC Organization, Lafayette, LA LLC, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Feb 29, 2024 33%
PHG - Monroe Organization, Bossier City, LA Created for acquisition, LLC, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Feb 29, 2024 100%
Mark J. Rice Individual 5% Or Greater Indirect Ownership Interest Feb 29, 2024 7.33%
Corporate Director Feb 29, 2024

Facilities with the same owner 7

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

Practitioners & affiliated clinicians

Practitioners 2

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 12

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": "1272844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730851200000",
    "number": "1528385382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 CHINABERRY DR STE 200",
            "city": "BOSSIER CITY",
            "state": "LA",
            "postal_code": "711112443",
            "telephone_number": "318-684-6050",
            "fax_number": "318-684-6051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "309 JACKSON ST",
            "address_2": "7TH FLOOR",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712017407",
            "telephone_number": "318-327-4600",
            "fax_number": "318-327-4082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPECIALTY EXTENDED CARE HOSPITAL OF MONROE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-03",
        "last_updated": "2024-11-06",
        "certification_date": "2024-11-06",
        "status": "A",
        "authorized_official_last_name": "FOX",
        "authorized_official_first_name": "CHRIS",
        "authorized_official_title_or_position": "GROUP PRESIDENT",
        "authorized_official_telephone_number": "337-247-1801"
    },
    "taxonomies": [
        {
            "code": "282E00000X",
            "taxonomy_group": "",
            "desc": "Long Term Care Hospital",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Specialty Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Monroe, LA

Sources for this page

Verify at the official NPI Registry.