Nexion Health at New Iberia South, Inc.
Organization Active NPI Skilled Nursing Facility · New Iberia, LA
NPI 1639136302 · NPPES record last updated Nov 3, 2020
Key facts
- NPI
- 1639136302
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Skilled Nursing Facility 314000000X
- License
- 818 (LA)
- Legal business name
- NEXION HEALTH AT NEW IBERIA SOUTH, INC.
- Practice address
- 600 Bayard St
New Iberia, LA 70560-5734 - Phone
- (337) 365-3441
- Fax
- (337) 365-0879
- NPI assigned
- Apr 27, 2006
- Organization subpart
- Yes
- Parent organization (as reported)
- NEXION HEALTH INC.
Authorized official
- Name
- Francis P Kirley
- Title
- President & Ceo
- Phone
- (410) 552-4800
Facilities with the same owner 32
Practitioners 4
-
Brady Kirk Guillory, M.D.
-
Timothy A Viator, M.D.
Affiliated clinicians 3
-
Timothy A Viator, M.D.
Medicare Care Compare: Nursing home
- Listed as
- New Iberia Manor South
- 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
- Jan 1, 1995
- Medicare certification status
- Active
- Certified beds
- 100 · 81.9 residents per day on average
- Chain
- Nexion Health
- Penalties (3 years)
- 2 · fines totaling $8,169
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 19D0649049 | New Iberia Manor South | Certificate of waiver | Aug 31, 2026 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in LA
Skilled nursing facility certification: CCN 195326
- Legal name
- NEXION HEALTH AT NEW IBERIA SOUTH, INC.
- Doing business as
- NEW IBERIA MANOR SOUTH
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF distinct part
- Participating since
- Jan 1, 1995
- Last certification
- Jul 23, 2024
- Beds
- 100
- Ownership / control type
- Corporation
- Multi-facility organization
- Nexion Health
- Organization structure
- Corporation · Proprietary
- Incorporated
- Jan 15, 2002 in DE
- Enrollment address
- 600 Bayard St
New Iberia, LA 70560-5734 - Nursing home name
- NEW IBERIA MANOR SOUTH
- Affiliated entity
- NEXION HEALTH
All disclosed owners & managing parties 10
| Name | Role | Since | Share |
|---|---|---|---|
| Meera Riner |
Corporate Officer |
Feb 1, 2012 | |
| Corporate Director |
Feb 1, 2012 | ||
| Operational/Managerial Control |
Feb 1, 2012 | ||
| Nexion Health of Ohi Inc |
5% Or Greater Direct Ownership Interest | Dec 31, 2006 | 100% |
| Operational/Managerial Control | Dec 31, 2006 | 100% | |
| Kevin Doerr |
W-2 Managing Employee |
Aug 1, 2018 | 100% |
| Operational/Managerial Control |
Aug 1, 2018 | 100% | |
| John T Reid |
Corporate Director |
Dec 3, 2018 | |
| Nexion Health Leasing, Inc. |
5% Or Greater Indirect Ownership Interest | Jan 15, 2002 | 100% |
| Operational/Managerial Control | Jan 15, 2002 | 100% | |
| Francis Kirley |
5% Or Greater Indirect Ownership Interest | Jan 15, 2002 | 60.89% |
| Corporate Officer |
Jan 15, 2002 | ||
| Corporate Director |
Jul 28, 2004 | ||
| Operational/Managerial Control |
Jan 15, 2002 | ||
| Brian Lee |
Corporate Officer |
Feb 1, 2012 | |
| Operational/Managerial Control |
Jan 15, 2002 | ||
| Bretton J Bolt |
5% Or Greater Indirect Ownership Interest | Jan 15, 2002 | 35.1% |
| Operational/Managerial Control | Jan 15, 2002 | ||
| Nexion Health, Inc. |
5% Or Greater Indirect Ownership Interest | Nov 1, 2002 | 100% |
| Operational/Managerial Control | Nov 1, 2002 | 100% | |
| William Herdrich |
Corporate Director |
Feb 1, 2012 | |
| Operational/Managerial Control |
Feb 1, 2012 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040728000744 | LA | Part a Provider - Skilled Nursing Facility | 4688644545 | Practice locations: New Iberia, LA |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 818 | LA | Yes |
Addresses
Primary practice location
600 Bayard St
New Iberia, LA 70560-5734
Mailing address
6937 Warfield Ave
Sykesville, MD 21784-7454
Phone (410) 552-4800
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1510335 | Medicaid | LA |
Other names
- New Iberia Manor South
Other providers in New Iberia, LA
- New Iberia Rehabilitation Hospital LLC
- New Iberia RX Inc
- New Iberia Surgery Center LLC
- New Life Recovery LLC
- Nexion Health at New Iberia North, Inc.
- Thuy H Ngo
- Hang Nguyen
- Lan T Nguyen
- Son Van Nguyen
- Thai Quoc Nguyen
All providers in New Iberia, LA · Skilled Nursing Facility in Louisiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 3, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.