NPIMap

Organization Active NPI

Farmerville Nursing and Rehabilitation Center, LLC

  • Skilled Nursing Facility
  • Farmerville, LA
National Provider Identifier
1598830580
Registry record updated Dec 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
900 Issued in LA
Legal business name
FARMERVILLE NURSING AND REHABILITATION CENTER, LLC
Practice address
813 N Main St
Farmerville, LA 71241-2217
Phone
(318) 368-2256
Fax
(318) 368-8323
NPI assigned
Nov 22, 2006
Last updated
Dec 8, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2023

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

Authorized official

Name
Mr. Norbert A Bennett
Title
Co-Chief Executive Officer
Phone
(716) 662-4955

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 900 LA Primary

Addresses

Primary practice location

813 N Main St
Farmerville, LA 71241-2217

Mailing address

PO Box 428
Orchard Park, NY 14127-0428
Phone (716) 662-4955

Other identifiers 1

IdentifierTypeStateIssuer
1522171MedicaidLA

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL ENDPOINT Other The White Stone Group d/b/a Vyne Medical

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20051012000191 LA Part A Provider - Skilled Nursing Facility 0244255958 Practice locations: Farmerville, LA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1598830580. Details of each certification follow.

Skilled nursing facility certification: CCN 195439

Legal name
FARMERVILLE NURSING AND REHABILITATION CENTER, LLC
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Apr 16, 1998
Last certification
May 22, 2024
Beds
117
Ownership / control type
Corporation
Organization structure
LLCProprietary
Incorporated
Nov 1, 2005 in LA
Enrollment address
813 N Main St
Farmerville, LA 71241-2217

Care Compare: Nursing home

Medicare Care Compare
Listed as
Farmerville Nursing and Rehabilitation Center, LLCCCN 195439 · 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 - Corporation
Certified
Apr 16, 1998
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
11773.8 residents per day on average
Penalties (3 years)
2Fines totaling $19,667

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory

Locations

813 N Main St
Farmerville, LA 71241
Phone (318) 368-2238

Ownership & related parties

All disclosed owners & managing parties 9

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

NameRoleSinceShare
Krisshune Benjamin Individual W-2 Managing EmployeeExecutive Director May 26, 2020 100%
Donald T Denz Irrv TR Organization, Buffalo, NY 5% Or Greater Indirect Ownership Interest May 23, 2008 6%
Norbert a Bennett Individual 5% Or Greater Indirect Ownership Interest Nov 1, 2005 32.45%
Donald T Denz Individual 5% Or Greater Indirect Ownership Interest Nov 1, 2005 44%
Norbert a Bennett Irrv TR Fbo Grandchildren Organization, Holland, NY 5% Or Greater Indirect Ownership Interest May 23, 2008 17.55%
Norbert a Bennett Irrv TR Fbo Children Organization, Holland, NY 5% Or Greater Indirect Ownership Interest May 23, 2008 17.55%
Renee Klawon Individual OtherIndependent Contractor Aug 14, 2020
D&N, LLC Organization, Orchard Park, NY LLC 5% Or Greater Direct Ownership Interest Nov 1, 2005 50%
DTD HC LLC Organization, Orchard Park, NY LLC 5% Or Greater Direct Ownership Interest Nov 1, 2005 50%

Facilities with the same owner 30

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

View all 30

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": "1164153600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701993600000",
    "number": "1598830580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 428",
            "city": "ORCHARD PARK",
            "state": "NY",
            "postal_code": "141270428",
            "telephone_number": "716-662-4955",
            "fax_number": "716-667-9230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "813 N MAIN ST",
            "city": "FARMERVILLE",
            "state": "LA",
            "postal_code": "712412217",
            "telephone_number": "318-368-2256",
            "fax_number": "318-368-8323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FARMERVILLE NURSING AND REHABILITATION CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-22",
        "last_updated": "2023-12-08",
        "certification_date": "2023-12-08",
        "status": "A",
        "authorized_official_last_name": "BENNETT",
        "authorized_official_first_name": "NORBERT",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CO-CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "716-662-4955",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "LA",
            "license": "900",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1522171",
            "state": "LA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "ENDPOINT",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.17.8788.1",
            "affiliationName": "The White Stone Group d/b/a Vyne Medical",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "100 Ashford Ctr N Ste 300",
            "city": "Atlanta",
            "state": "GA",
            "country_code": "US",
            "postal_code": "303384863",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Farmerville, LA

Sources for this page

Verify at the official NPI Registry.