NPIMap

Organization Active NPI

Poplar Grove Operations LLC

Doing business as The Green House Cottages of Poplar Grove

  • Skilled Nursing Facility
  • Little Rock, AR
National Provider Identifier
1659858348
Registry record updated Jul 31, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
POPLAR GROVE OPERATIONS LLC
Doing business as
The Green House Cottages of Poplar Grove
Practice address
7801 Kanis Road
Little Rock, AR 72204
Phone
(501) 404-0500
Fax
(501) 404-0512
NPI assigned
Jul 25, 2018
Last updated
Jul 31, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2018

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

Authorized official

Name
Ross Ponthie
Title
Member
Phone
(318) 443-8167

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

7801 Kanis Road
Little Rock, AR 72204

Mailing address

PO Box 12187
Alexandria, LA 71315-2187
Phone (318) 443-8167

Other names 1

  • THE GREEN HOUSE COTTAGES OF POPLAR GROVE Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180817000222 AR Part A Provider - Skilled Nursing Facility 0547519001 Practice locations: Little Rock, AR

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1659858348. Details of each certification follow.

Skilled nursing facility certification: CCN 045466

Legal name
POPLAR GROVE OPERATIONS, LLC
Doing business as
THE GREEN HOUSE COTTAGES OF POPLAR GROVE
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Dec 19, 2018
Last certification
Oct 4, 2024
Beds
140
Ownership / control type
Limited Liability Corporation
Organization structure
LLCProprietary
Incorporated
Jun 2, 2017 in AR
Enrollment address
7801 Kanis Road
Little Rock, AR 72204-2306
Nursing home name
THE GREEN HOUSE COTTAGES OF POPLAR GROVE
Affiliated entity
SOUTHERN ADMINISTRATIVE SERVICES

Care Compare: Nursing home

Medicare Care Compare
Listed as
The Green House Cottages of Poplar GroveCCN 045466 · All quality measures
Overall star rating
4 of 5
Health inspections
3 of 5
Staffing
3 of 5
Quality measures
5 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Dec 19, 2018
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
140111.2 residents per day on average
Chain
Southern Administrative Services35 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory

Locations

7801 Kanis Rd
Little Rock, AR 72204
Phone (501) 404-0500

Ownership & related parties

All disclosed owners & managing parties 13

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

NameRoleSinceShare
Jej Investments LLC Organization, Shreveport, LA LLC 5% Or Greater Indirect Ownership Interest Jun 2, 2018 40%
Jej Assets LP Organization, Alexandria, LA Holding company, For-profit 5% Or Greater Indirect Ownership Interest Jan 1, 2022
John Montgomery Individual W-2 Managing EmployeeAdministrator/Executive Director Sep 1, 2018 100%
Mark Kelly Thmpson 2020 Chikdren's Trust Organization, Boyce, LA LLC 5% Or Greater Direct Ownership Interest Jun 2, 2017 20%
Alexark1 LLC Organization, Shreveport, LA LLC 5% Or Greater Indirect Ownership Interest Jan 1, 2022
Jej Management, LLC Organization, Shreveport, LA LLC 5% Or Greater Indirect Ownership Interest Jan 1, 2022
Carnail Williams Individual W-2 Managing EmployeeAdministrator Apr 29, 2019 100%
Sonia Ingle Individual Contracted Managing Employee Sep 1, 2018
Ponthie Interests Inc Organization, Shreveport, LA Corporation 5% Or Greater Indirect Ownership Interest Jun 2, 2018
John F Ponthie Individual 5% Or Greater Indirect Ownership Interest Jan 1, 2022
Corporate DirectorMember of Board of Directors Jan 1, 2022
Sharlot Ponthie Individual 5% Or Greater Indirect Ownership Interest Jan 1, 2022
Angie Pratt Individual Contracted Managing Employee Sep 1, 2018
Trent M Unruh Individual Contracted Managing Employee Sep 1, 2018

Facilities with the same owner 36

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 36

Practitioners & affiliated clinicians

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": "1532476800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1532995200000",
    "number": "1659858348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 12187",
            "city": "ALEXANDRIA",
            "state": "LA",
            "postal_code": "713152187",
            "telephone_number": "318-443-8167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7801 KANIS ROAD",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "72204",
            "telephone_number": "501-404-0500",
            "fax_number": "501-404-0512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POPLAR GROVE OPERATIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-25",
        "last_updated": "2018-07-31",
        "status": "A",
        "authorized_official_last_name": "PONTHIE",
        "authorized_official_first_name": "ROSS",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "318-443-8167"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "THE GREEN HOUSE COTTAGES OF POPLAR GROVE",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "THE GREEN HOUSE COTTAGES OF POPLAR GROVE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Little Rock, AR

Sources for this page

Verify at the official NPI Registry.