Multi-Faith Retirement Services

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

378 Issued in LA

Legal business name

MULTI-FAITH RETIREMENT SERVICES

Doing business as

Live Oak

Practice address

600 E Flournoy Lucas Rd
Shreveport, LA 71115-3855

Phone

(318) 797-1900

Fax

(318) 797-1999

NPI assigned

Jun 8, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Laura Shahrdar

Title

Executive Director

Phone

(318) 797-1900

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• LIVE OAK Doing business as

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1619917432. Details of each certification follow.

• CCN 195597 Skilled nursing facility · Active · Details

Skilled nursing facility certification: CCN 195597

Legal name

MULTI-FAITH RETIREMENT SERVICES

Doing business as

LIVE OAK RETIREMENT COMMUNITY

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF distinct part

Participating since

Jul 7, 2004

Last certification

May 22, 2024

Beds

160

Ownership / control type

Nonprofit Corporation

Multi-facility organization

Willis Knighton Health

Organization structure

CorporationNon-profit

Incorporated

Feb 16, 1977 in LA

Enrollment address

600 East Flournoy Lucas Road
Shreveport, LA 71115-3891

Nursing home name

LIVE OAK

Listed as

Live OakCCN 195597 · All quality measures

Overall star rating

4 of 5

Health inspections

4 of 5

Staffing

3 of 5

Quality measures

4 of 5

Type

Medicare and Medicaid

Ownership

Non profit - Corporation

Certified

Jul 7, 2004

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

16088.2 residents per day on average

Processed by Care Compare on Aug 1, 2026.

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

All disclosed owners & managing parties 17

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

Owners & managing parties with NPI records 1

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

• Pierre Valmont Blanchard, MD

  • Internal Medicine Physician
  • Shreveport, LA
  • NPI 1104889237

  Corporate Director

  CMS ownership

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.

• Robert C Hernandez, MD

  • Internal Medicine Physician
  • Shreveport, LA
  • NPI 1043247745
  NPD (past)
• David Juston Colvin, M.D.

  • Family Medicine Physician
  • Shell Lake, WI
  • NPI 1023010592
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1149724800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1619917432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 E FLOURNOY LUCAS RD",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711153855",
            "telephone_number": "318-797-1900",
            "fax_number": "318-797-1999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 E FLOURNOY LUCAS RD",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711153855",
            "telephone_number": "318-797-1900",
            "fax_number": "318-797-1999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MULTI-FAITH RETIREMENT SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SHAHRDAR",
        "authorized_official_first_name": "LAURA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "318-797-1900"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "LA",
            "license": "378",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "51543",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LIVE OAK",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mary-Claire Elizabeth Mula
• Leslie G Mulford, LOTR
• Ashley M Mulkey, PA
• David H Mull, M.D.
• Kerri Annette Mullone
• Amandeep S Mundi, M.D.
• Farrukh Munir, MD
• Syeda S Munir, M.D.
• Jai P Munjampalli, M.D.
• Sara Munjampalli, M.D.

• Skilled Nursing Facility in Shreveport, LA
• Providers in Shreveport, LA by specialty
• Skilled Nursing Facility in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.