NPIMap

Organization Active NPI

Pontchartrain Guest House Inc

Doing business as Pontchartrain Health Care Center

  • Skilled Nursing Facility
  • Mandeville, LA
National Provider Identifier
1598872640
Registry record updated Mar 29, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
312 Issued in LA
Legal business name
PONTCHARTRAIN GUEST HOUSE INC
Doing business as
Pontchartrain Health Care Center
Practice address
1401 Florida St
Mandeville, LA 70448-5433
Phone
(985) 626-8581
Fax
(985) 624-9478
NPI assigned
Aug 24, 2006
Last updated
Mar 29, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2012

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

Authorized official

Name
Mr. Mary Lynn Leach
Title
Chief Financial Officer
Phone
(985) 626-1900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 312 LA Primary

Addresses

Primary practice location

1401 Florida St
Mandeville, LA 70448-5433

Mailing address

PO Box 338
Mandeville, LA 70470-0338
Phone (985) 626-1900

Other identifiers 1

IdentifierTypeStateIssuer
1513784MedicaidLA

Other names 1

  • PONTCHARTRAIN HEALTH CARE CENTER Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120215000430 LA Part A Provider - Skilled Nursing Facility 8628199288 Practice locations: Mandeville, LA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1598872640. Details of each certification follow.

Skilled nursing facility certification: CCN 195297

Legal name
PONTCHARTRAIN GUEST HOUSE INC
Doing business as
PONTCHARTRAIN HEALTH CARE CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF distinct part
Participating since
Sep 1, 1994
Last certification
May 8, 2024
Beds
182
Ownership / control type
Corporation
Organization structure
CorporationProprietary
Enrollment address
1401 Florida St
Mandeville, LA 70448-5433
Nursing home name
PONTCHARTRAIN HEALTH CARE CENTER
Affiliated entity
INSPIRED HEALTHCARE MANAGEMENT

Care Compare: Nursing home

Medicare Care Compare
Listed as
Pontchartrain Health Care CenterCCN 195297 · All quality measures
Overall star rating
1 of 5
Health inspections
1 of 5
Staffing
2 of 5
Quality measures
1 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Sep 1, 1994
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
182102.3 residents per day on average
Chain
Inspired Healthcare Management6 facilities in the chain
Special focus status
SFF Candidate
Penalties (3 years)
1Fines totaling $105,898

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory
Tax ID family
Pontchartrain Guest Hou2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Ownership & related parties

All disclosed owners & managing parties 11

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

NameRoleSinceShare
Patricia Lavarine Individual Operational/Managerial Control Dec 29, 2020
Adp of the SNF Dec 29, 2020
Organization, Mandeville, LA LLC, For-profit Adp of the SNF Oct 7, 2025
Jeremy D Goux Individual 5% Or Greater Indirect Ownership InterestShareholder Dec 31, 2012 26%
Corporate DirectorBoard Member Dec 31, 2012 26%
Adp of the SNF Dec 31, 2012
Organization, Mandeville, LA LLC, Consulting firm, For-profit Adp of the SNF Oct 8, 2025
Mary Lynn Leach Individual Operational/Managerial Control Jul 8, 2020
Lynette Goux Individual 5% Or Greater Indirect Ownership InterestShareholder Jul 13, 1990 48%
Corporate OfficerPresident Jul 13, 1990 48%
Corporate DirectorBoard Member Jul 13, 1990 48%
Adp of the SNF Jul 13, 1990
Organization, Denton, TX Corporation, Medical staffing company, For-profit Adp of the SNF Oct 7, 2025
Merrill J Laurent Individual Operational/Managerial Control Jan 1, 1999
Adp of the SNF Jan 1, 1999
Inspired Healthcare Management, LLC Organization, Mandeville, LA LLC, Management services company, For-profit, Chain home office Operational/Managerial Control Feb 1, 2017 100%
Adp of the SNF Oct 6, 2025
Pontchartrain Guest House Inc Organization, Mandeville, LA Created for acquisition, Corporation, For-profit, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Jul 16, 1990 100%
Adp of the SNF Jul 16, 1990
Timothy a Goux Individual 5% Or Greater Indirect Ownership InterestShareholder Dec 31, 2012 26%
Corporate DirectorBoard Member Dec 31, 2012 26%
Adp of the SNF Dec 31, 2012

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 6

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 3

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": "1156377600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332979200000",
    "number": "1598872640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 338",
            "city": "MANDEVILLE",
            "state": "LA",
            "postal_code": "704700338",
            "telephone_number": "985-626-1900",
            "fax_number": "985-727-9660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 FLORIDA ST",
            "city": "MANDEVILLE",
            "state": "LA",
            "postal_code": "704485433",
            "telephone_number": "985-626-8581",
            "fax_number": "985-624-9478"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PONTCHARTRAIN GUEST HOUSE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-24",
        "last_updated": "2012-03-29",
        "status": "A",
        "authorized_official_last_name": "LEACH",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "985-626-1900",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "LA",
            "license": "312",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1513784",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PONTCHARTRAIN HEALTH CARE CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mandeville, LA

Sources for this page

Verify at the official NPI Registry.