Active NPI
Riverlands Home Group, LLC
Doing business as Chateau St. James Rehab and Retirement
- Skilled Nursing Facility
- Lutcher, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 1017
- Legal business name
- RIVERLANDS HOME GROUP, LLC
- Doing business as
- Chateau St. James Rehab and Retirement
- Practice address
- 1980 River Road
Lutcher, LA 70071 - Phone
- (225) 869-5725
- Fax
- (225) 869-4009
- NPI assigned
- Jun 17, 2006
- Last updated
- Jul 31, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Steven D Boulware
- Title
- Authorized Representative
- Phone
- (985) 855-4424
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 1017 | LA | Primary |
Addresses
Primary practice location
1980 River Road
Lutcher, LA 70071
Mailing address
1980 River Road
Lutcher, LA 70071
Phone (225) 869-5725
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 31201 | Other | LA | BLUE CROSS BLUE SHIELD |
Other names 1
- Chateau St. James Rehab and Retirement
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20121029000290 | LA | Part A Provider - Skilled Nursing Facility | 1850541822 | Practice locations: Lutcher, LA |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1629013404. Details of each certification follow.
Skilled nursing facility certification: CCN 195304
- Legal name
- RIVERLANDS HOME GROUP LLC
- Doing business as
- CHATEAU ST JAMES REHAB AND RETIREMENT
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Dec 1, 1994
- Last certification
- Nov 8, 2024
- Beds
- 116
- Ownership / control type
- Limited Liability Corporation
- Organization structure
- LLC
- Incorporated
- Jun 11, 2012 in LA
- Enrollment address
- 1980 Jefferson Highway
Lutcher, LA 70071-5119 - Nursing home name
- CHATEAU ST. JAMES REHAB AND RETIREMENT
- Affiliated entity
- PRIORITY MANAGEMENT
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Chateau St. James Rehab and Retirement
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Limited Liability company
- Certified
- Dec 1, 1994
- Medicare certification status
- Active
- Certified beds
- 116
- Chain
- Priority Management
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 19D0671162 | Chateau St James Rehab & Retirement | Certificate of waiver | Sep 7, 2026 |
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
-
dba Community Care Center of Baker
- Skilled Nursing Facility
- Baton Rouge, LA
- NPI 1407813652
Member Of
Ownership & related parties
All disclosed owners & managing parties 27
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Rogenmoser D'Ville LLC | 5% Or Greater Direct Ownership Interest | Jul 3, 2012 | 10% |
| 5% Or Greater Security Interest | Jul 3, 2012 | 10% | |
| Adp of the SNF | Jul 3, 2012 | ||
| Stacie R Humphrey | Adp of the SNF | Apr 3, 2023 | |
| Douglas B Boulware | 5% Or Greater Indirect Ownership Interest | Jul 3, 2012 | 6.25% |
| 5% Or Greater Security Interest | Jul 3, 2012 | 6.25% | |
| Operational/Managerial Control | Jul 3, 2012 | ||
| Adp of the SNF | Jul 3, 2012 | ||
| Indirect Ownership Interest | Jul 3, 2012 | 6.25% | |
| Katie B Walker | 5% Or Greater Indirect Ownership Interest | Jul 3, 2012 | 12.5% |
| 5% Or Greater Security Interest | Jul 3, 2012 | 12.5% | |
| Adp of the SNF | Jul 3, 2012 | ||
| Adp of the SNF | Apr 14, 2025 | ||
| John T Mauldin | Adp of the SNF | Apr 16, 2025 | |
| Robert P Rogenmoser | 5% Or Greater Indirect Ownership Interest | Jul 3, 2012 | 10% |
| 5% Or Greater Security Interest | Jul 3, 2012 | 10% | |
| Adp of the SNF | Jul 3, 2012 | ||
| Thomas C Boulware | 5% Or Greater Indirect Ownership Interest | Jul 3, 2012 | 12.5% |
| 5% Or Greater Security Interest | Jul 3, 2012 | 12.5% | |
| Adp of the SNF | Jul 3, 2012 | ||
| CKF Holdings LLC | 5% Or Greater Direct Ownership Interest | Jul 3, 2012 | 5% |
| 5% Or Greater Security Interest | Jul 3, 2012 | 5% | |
| Adp of the SNF | Jul 3, 2012 | ||
| Adp of the SNF | Apr 1, 2019 | ||
| Christopher Wright | 5% Or Greater Direct Ownership Interest | Jul 3, 2012 | 5% |
| 5% Or Greater Security Interest | Jul 3, 2012 | 5% | |
| Adp of the SNF | Jul 3, 2012 | ||
| Bridgepointe Finanical Services, LLC | Adp of the SNF | Jul 3, 2012 | |
| Priority Management Group, LLC | Operational/Managerial Control | Apr 1, 2024 | |
| Adp of the SNF | Apr 17, 2025 | ||
| Sandra Boulware | 5% Or Greater Indirect Ownership Interest | Jul 3, 2012 | 6.25% |
| 5% Or Greater Security Interest | Jul 3, 2012 | 6.25% | |
| Adp of the SNF | Jul 3, 2012 | ||
| Adp of the SNF | Apr 14, 2025 | ||
| Adp of the SNF | Apr 1, 2019 | ||
| Adp of the SNF | Jul 3, 2012 | ||
| Anu P Vellanki | Adp of the SNF | Apr 16, 2025 | |
| Steven D Boulware | 5% Or Greater Direct Ownership Interest | Jul 3, 2012 | 5% |
| 5% Or Greater Indirect Ownership Interest | Jul 3, 2012 | 12.5% | |
| 5% Or Greater Security Interest | Jul 3, 2012 | 17.5% | |
| Operational/Managerial Control | Jan 1, 2023 | ||
| Adp of the SNF | Jul 3, 2012 | ||
| Direct Ownership Interest | Jul 3, 2012 | 5% | |
| Indirect Ownership Interest | Jul 3, 2012 | 12.5% | |
| Boulware St James LLC | 5% Or Greater Direct Ownership Interest | Jul 3, 2012 | 50% |
| 5% Or Greater Security Interest | Jul 3, 2012 | 50% | |
| Adp of the SNF | Jul 3, 2012 | ||
| Centermark Management LLC | 5% Or Greater Direct Ownership Interest | Jul 3, 2012 | 10% |
| 5% Or Greater Security Interest | Jul 3, 2012 | 10% | |
| Adp of the SNF | Jul 3, 2012 | ||
| Adp of the SNF | Apr 14, 2025 | ||
| Gregory Lord | 5% Or Greater Direct Ownership Interest | Jul 3, 2012 | 10% |
| 5% Or Greater Security Interest | Jul 3, 2012 | 10% | |
| Adp of the SNF | Jul 3, 2012 | ||
| Progressive Rehab Solutions, LLC | Operational/Managerial Control | Jul 3, 2012 | |
| Mark J. Rice | 5% Or Greater Indirect Ownership Interest | Jul 3, 2012 | 10% |
| 5% Or Greater Security Interest | Jul 3, 2012 | 10% | |
| Adp of the SNF | Jul 3, 2012 | ||
| Adp of the SNF | Apr 1, 2019 | ||
| Jonathan Wimberly | 5% Or Greater Direct Ownership Interest | Jul 3, 2012 | 5% |
| 5% Or Greater Security Interest | Jul 3, 2012 | 5% | |
| Adp of the SNF | Jul 3, 2012 |
Owners & managing parties with NPI records 2
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- General Practice Physician
- Leesville, LA
- NPI 1639162290
5% Or Greater Direct Ownership Interest, 5% Or Greater Security Interest, Adp of the SNF
Facilities with the same owner 25
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
dba Chateau D'Ville Rehab and Retirement
- Skilled Nursing Facility
- Donaldsonville, LA
- NPI 1346956927
CKF Holdings LLC, Priority Management Group, LLC
-
dba St. Joseph Skilled Nursing and Rehabilitation
- Skilled Nursing Facility
- Monroe, LA
- NPI 1134089972
Boulware St James LLC, Priority Management Group, LLC
-
dba Timber Springs Rehab and Retirement
- Skilled Nursing Facility
- Springhill, LA
- NPI 1922892280
Boulware St James LLC, Priority Management Group, LLC
-
dba Resthaven Living Center
- Skilled Nursing Facility
- Bogalusa, LA
- NPI 1033658893
Priority Management Group, LLC
-
dba The Bradford Skilled Nursing and Rehabilitation
- Skilled Nursing Facility
- Shreveport, LA
- NPI 1952862377
Priority Management Group, LLC
-
dba Camelot of Broussard
- Skilled Nursing Facility
- Broussard, LA
- NPI 1326708439
Boulware St James LLC, Priority Management Group, LLC
-
dba Colonial Oaks Skilled Nursing and Rehabilitation
- Skilled Nursing Facility
- Bossier City, LA
- NPI 1124589544
Priority Management Group, LLC, Progressive Rehab Solutions, LLC
-
dba The Guest House Skilled Nursing and Rehabilitation
- Skilled Nursing Facility
- Shreveport, LA
- NPI 1184185506
Priority Management Group, LLC
-
dba Camelot Brookside
- Skilled Nursing Facility
- Jennings, LA
- NPI 1952061061
Boulware St James LLC, Priority Management Group, LLC
-
dba Camelot Rehabilitation at Magnolia Park
- Skilled Nursing Facility
- Lafayette, LA
- NPI 1689334799
Boulware St James LLC, Priority Management Group, LLC
-
dba Pilgrim Manor Skilled Nursing and Rehabilitation
- Skilled Nursing Facility
- Bossier City, LA
- NPI 1669933081
Priority Management Group, LLC
-
dba Shreveport Manor Skilled Nursing and Rehabilitation
- Skilled Nursing Facility
- Shreveport, LA
- NPI 1376004796
Priority Management Group, LLC
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- Internal Medicine Physician
- Gramercy, LA
- NPI 1497746499
Affiliated clinicians 2
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": "1150502400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1343692800000",
"number": "1629013404",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1980 RIVER ROAD",
"city": "LUTCHER",
"state": "LA",
"postal_code": "70071",
"telephone_number": "225-869-5725",
"fax_number": "225-869-4009"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1980 RIVER ROAD",
"city": "LUTCHER",
"state": "LA",
"postal_code": "70071",
"telephone_number": "225-869-5725",
"fax_number": "225-869-4009"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RIVERLANDS HOME GROUP, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-17",
"last_updated": "2012-07-31",
"status": "A",
"authorized_official_last_name": "BOULWARE",
"authorized_official_first_name": "STEVEN",
"authorized_official_middle_name": "D",
"authorized_official_title_or_position": "AUTHORIZED REPRESENTATIVE",
"authorized_official_telephone_number": "985-855-4424",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "LA",
"license": "1017",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "31201",
"state": "LA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Chateau St. James Rehab and Retirement",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Lutcher, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2012; 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.