Organization Active NPI

Southern Acres Care Center, LP

Doing business as Southern Acres Care Center

  • Skilled Nursing Facility
  • Monroe, LA
National Provider Identifier
1659380004
Registry record updated Feb 14, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
853 Issued in LA
Legal business name
SOUTHERN ACRES CARE CENTER, LP
Doing business as
Southern Acres Care Center
Practice address
4600 Reddix LN
Monroe, LA 71202-5949
Phone
(318) 322-3100
Fax
(318) 323-7482
NPI assigned
Aug 5, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2014

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

Authorized official

Name
Ms. Dawne R Smith
Title
Ceo
Phone
(318) 812-2140

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 853 LA Primary
Nursing Facility Supplies (DME) 332BN1400X LA
Parenteral & Enteral Nutrition Supplies (DME) 332BP3500X LA

Addresses

Primary practice location

4600 Reddix LN
Monroe, LA 71202-5949

Mailing address

4600 Reddix LN
Monroe, LA 71202-5949
Phone (318) 322-3100

Other identifiers 1

IdentifierTypeStateIssuer
1510611MedicaidLA

Other names 1

  • Southern Acres 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
O20031110000720 LA Part A Provider - Skilled Nursing Facility 6709799307 Practice locations: Monroe, LA

Skilled nursing facility certification: CCN 195530

Legal name
SOUTHERN ACRES CARE CENTER, LP
Doing business as
DELTA GRANDE SKILLED NURSING AND REHABILITATION
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Sep 18, 2001
Last certification
Feb 19, 2025
Beds
74
Ownership / control type
Partnership
Organization structure
Partnership
Incorporated
Nov 1, 2003 in LA
Enrollment address
3001 S Grand St
Monroe, LA 71202-4152
Nursing home name
DELTA GRANDE SKILLED NURSING AND REHABILITATION
Affiliated entity
PARAMOUNT HEALTHCARE CONSULTANTS

Care Compare: Nursing home

Medicare Care Compare
Listed as
Delta Grande Skilled Nursing and RehabilitationCCN 195530 · All quality measures
Overall star rating
3 of 5
Health inspections
4 of 5
Staffing
2 of 5
Quality measures
1 of 5
Type
Medicare and Medicaid
Ownership
For profit - Partnership
Certified
Sep 18, 2001
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
7470.2 residents per day on average
Chain
Paramount Healthcare Consultants14 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
19D0464220Delta Grande Skilled Nursing and Rehabilitation3001 South Grand Street, Monroe, LA 71202Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Locations

4600 Reddix Ln
Monroe, LA 71202
Phone (318) 322-3100

Ownership & related parties

All disclosed owners & managing parties 8

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

NameRoleSinceShare
DCZ Healthcare Investments, LLC Organization, West Monroe, LA LLC, Owned by another organization or individual Limited Partnership Interest Jan 1, 2008 99%
Stephen Duck, Cpa PC Organization, Longview, TX Corporation Adp of the SNF Jan 1, 2018
Krisshune Benjamin Individual Operational/Managerial Control Dec 26, 2022
Adp of the SNF Dec 26, 2022
Mohammad Mousa Individual Operational/Managerial Control May 15, 2023
Adp of the SNF May 15, 2023
Paramount Healthcare Consultants, LLC Organization, West Monroe, LA Management services company Adp of the SNF Jan 1, 2008
DCZ1 Ventures LLC Organization, West Monroe, LA LLC, Owned by another organization or individual Limited Partnership Interest Jan 1, 2008 1%
Delta Grande Properties, LLC Organization, West Monroe, LA LLC Adp of the SNF Jan 1, 2008
Dawne R Smith Individual Operational/Managerial Control Jan 1, 2008
Adp of the SNF Jan 1, 2008
Indirect Ownership Interest Jan 1, 2008 100%

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

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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": "1154736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1392336000000",
    "number": "1659380004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4600 REDDIX LN",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712025949",
            "telephone_number": "318-322-3100",
            "fax_number": "318-323-7482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4600 REDDIX LN",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712025949",
            "telephone_number": "318-322-3100",
            "fax_number": "318-323-7482"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN ACRES CARE CENTER, LP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-05",
        "last_updated": "2014-02-14",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "DAWNE",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "318-812-2140",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "LA",
            "license": "853",
            "primary": true
        },
        {
            "code": "332BN1400X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Nursing Facility Supplies",
            "state": "LA",
            "license": null,
            "primary": false
        },
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": "LA",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1510611",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Southern Acres Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Monroe, LA

Sources for this page

Verify at the official NPI Registry.