Organization Active NPI

Cornerstone Post Acute Care of Bossier LLC

Doing business as Cornerstone Post Acute Care of Bossier

  • Skilled Nursing Facility
  • Bossier City, LA
National Provider Identifier
1619629763
Registry record updated Apr 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
CORNERSTONE POST ACUTE CARE OF BOSSIER LLC
Doing business as
Cornerstone Post Acute Care of Bossier
Practice address
4900 Medical Dr
Bossier City, LA 71112-4521
Phone
(318) 841-5555
Fax
(318) 841-5563
NPI assigned
Jan 20, 2022
Last updated
Apr 28, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2025

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

Authorized official

Name
James Manning
Title
Director
Phone
(318) 841-5555

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

4900 Medical Dr
Bossier City, LA 71112-4521

Mailing address

4900 Medical Dr
Bossier City, LA 71112-4521
Phone (318) 841-5555

Other names 1

  • Cornerstone Post Acute Care of Bossier Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250625000231 LA Part A Provider - Skilled Nursing Facility 2062931751 Practice locations: Bossier City, LA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1619629763. Details of each certification follow.

Skilled nursing facility certification: CCN 195643

Legal name
CORNERSTONE POST ACUTE CARE OF BOSSIER LLC
Doing business as
CORNERSTONE POST ACUTE CARE OF BOSSIER
Certification status
Active
Provider type (POS)
Nursing home – SNF (Medicare) only
Participating since
Nov 15, 2022
Last certification
Nov 6, 2024
Beds
7
Ownership / control type
Limited Liability Corporation
Most recent change of ownership
Mar 28, 2025
Organization structure
LLCProprietary
Enrollment address
4900 Medical Dr
Bossier City, LA 71112-4521
Nursing home name
CORNERSTONE POST ACUTE CARE OF BOSSIER

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Nursing home

Medicare Care Compare
Listed as
Cornerstone Post Acute Care Of BossierCCN 195643 · All quality measures
Overall star rating
5 of 5
Health inspections
5 of 5
Staffing
4 of 5
Quality measures
2 of 5
Type
Medicare
Ownership
For profit - Partnership
Certified
Nov 15, 2022
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
75.7 residents per day on average

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory
Tax ID family
Cornerstone Post Acute Care of Bossier LLC2 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 5

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

NameRoleSinceShare
Joel Anthony Casale Individual Operational/Managerial Control Mar 28, 2025
Adp of the SNF Mar 28, 2025
James Manning Individual 5% Or Greater Indirect Ownership Interest Mar 28, 2025 50%
Corporate DirectorGoverning Board/Director Mar 28, 2025
Operational/Managerial Control Mar 28, 2025
Managing Control - Governing BodyGoverning Board/Director Mar 28, 2025
Adp of the SNF Mar 28, 2025
Indirect Ownership Interest Mar 28, 2025 50%
Sheri L Burnette Individual Corporate OfficerChief Execuive Officer Mar 28, 2025
Operational/Managerial Control Mar 28, 2025
Adp of the SNF Mar 28, 2025
Franklin D Roemer Individual 5% Or Greater Indirect Ownership Interest Mar 28, 2025
Corporate DirectorGoverning Board/Director Mar 28, 2025
Operational/Managerial Control Mar 28, 2025
Managing Control - Governing BodyGoverning Board/Director Mar 28, 2025
Adp of the SNF Mar 28, 2025
Indirect Ownership Interest Mar 28, 2025
Bryan Cox Individual Corporate OfficerManaging Director Mar 28, 2025
Operational/Managerial Control Mar 28, 2025
Adp of the SNF Mar 28, 2025

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Practitioners & affiliated clinicians

Affiliated clinicians 1

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": "1642636800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745798400000",
    "number": "1619629763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4900 MEDICAL DR",
            "city": "BOSSIER CITY",
            "state": "LA",
            "postal_code": "711124521",
            "telephone_number": "318-841-5555",
            "fax_number": "318-841-5563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4900 MEDICAL DR",
            "city": "BOSSIER CITY",
            "state": "LA",
            "postal_code": "711124521",
            "telephone_number": "318-841-5555",
            "fax_number": "318-841-5563"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORNERSTONE POST ACUTE CARE OF BOSSIER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-20",
        "last_updated": "2025-04-28",
        "certification_date": "2025-04-28",
        "status": "A",
        "authorized_official_last_name": "MANNING",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "318-841-5555"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cornerstone Post Acute Care of Bossier",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bossier City, LA

Sources for this page

Verify at the official NPI Registry.