NPIMap

Organization Active NPI

Capital Oaks Nursing & Rehabilitation Center LLC

  • Skilled Nursing Facility
  • Baton Rouge, LA
National Provider Identifier
1689174153
Registry record updated Sep 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
CAPITAL OAKS NURSING & REHABILITATION CENTER LLC
Practice address
4100 North Blvd
Baton Rouge, LA 70806-3911
Phone
(225) 387-6704
NPI assigned
Feb 20, 2018
Last updated
Sep 12, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2024

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

Authorized official

Name
Mr. Teddy Ray Price
Title
Managing Member/Ceo
Phone
(318) 648-4116

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

4100 North Blvd
Baton Rouge, LA 70806-3911

Mailing address

PO Box 1438
Winnfield, LA 71483-1438
Phone (318) 628-4116

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://www.cms.gov/research-statistics-data-systems/electronic-submission-medical-documentation-esmd/cms-health-information-handler Other CMS HIH

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180524000478 LA Part A Provider - Skilled Nursing Facility 2163787060 Practice locations: Baton Rouge, LA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1689174153. Details of each certification follow.

Skilled nursing facility certification: CCN 195635

Legal name
CAPITAL OAKS NURSING & REHABILITATION CENTER LLC
Doing business as
CAPITAL OAKS NURSING & REHABILITATION CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Nov 1, 2011
Last certification
Mar 26, 2025
Beds
123
Ownership / control type
Limited Liability Corporation
Multi-facility organization
Kisatchie Corporation
Organization structure
LLCProprietary
Enrollment address
4100 North Blvd
Baton Rouge, LA 70806-3911
Nursing home name
CAPITAL OAKS NURSING & REHABILITATION CENTER LLC
Affiliated entity
CENTRAL MANAGEMENT COMPANY

Care Compare: Nursing home

Medicare Care Compare
Listed as
Capital Oaks Nursing & Rehabilitation Center LLCCCN 195635 · All quality measures
Overall star rating
1 of 5
Health inspections
2 of 5
Staffing
3 of 5
Quality measures
1 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Nov 1, 2011
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
123110.4 residents per day on average
Chain
Central Management Company21 facilities in the chain
Penalties (3 years)
2Fines totaling $158,019

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 24

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

NameRoleSinceShare
Individual Adp of the SNF Mar 11, 2025
Organization, Lake Charles, LA LLC, Consulting firm Adp of the SNF Apr 7, 2025
Teddy D Price Individual Operational/Managerial Control Mar 1, 2025
Adp of the SNF Mar 1, 2025
Individual Adp of the SNF Apr 7, 2025
Organization, Winnfield, LA LLC, Consulting firm Adp of the SNF Apr 7, 2025
Jeffrey Lee Cantrell Individual Adp of the SNF Mar 1, 2018
Prico, Inc Organization, Winnfield, LA Corporation, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Mar 1, 2018 20%
Adp of the SNF Mar 1, 2018
Teddy R Price Individual 5% Or Greater Indirect Ownership Interest Mar 31, 2025 90.11%
Operational/Managerial ControlCeo/Managing Member of Managemen Mar 1, 2018 100%
Adp of the SNF Mar 1, 2018
Central Management Company, LLC Organization, Winnfield, LA LLC, Management services company, Chain home office Operational/Managerial Control Mar 1, 2018 100%
Adp of the SNF Apr 7, 2025
Dawn Rogers Individual Adp of the SNF Mar 1, 2018
Individual Adp of the SNF Mar 1, 2018
Sheila M Bolwahnn Individual Adp of the SNF Mar 1, 2018
James Shelton Individual Adp of the SNF Mar 1, 2018
Individual Adp of the SNF Mar 1, 2018
Individual Adp of the SNF Mar 1, 2018
Hancock Whitney Bank Organization, Gulfport, MS Corporation, Financial institution 5% Or Greater Mortgage Interest Mar 1, 2023 62.67%
Individual Adp of the SNF Mar 1, 2018
Individual Adp of the SNF Apr 7, 2025
Organization, Winnfield, LA LLC, Holding company Adp of the SNF Feb 1, 2001
Kisatchie Health, LLC Organization, Winnfield, LA LLC, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Mar 1, 2018 80%
Adp of the SNF Mar 1, 2018
Individual Adp of the SNF Apr 7, 2025
Individual Adp of the SNF Mar 11, 2025
Organization, Lake Charles, LA LLC Adp of the SNF Apr 7, 2025
Freda P Zimmerman Individual 5% Or Greater Indirect Ownership Interest Mar 31, 2025 5.06%
Adp of the SNF Mar 31, 2025

Facilities with the same owner 23

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

View all 23

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.

Affiliated clinicians 1

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": "1519084800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726099200000",
    "number": "1689174153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1438",
            "city": "WINNFIELD",
            "state": "LA",
            "postal_code": "714831438",
            "telephone_number": "318-628-4116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4100 NORTH BLVD",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708063911",
            "telephone_number": "225-387-6704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAPITAL OAKS NURSING & REHABILITATION CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-20",
        "last_updated": "2024-09-12",
        "certification_date": "2024-09-12",
        "status": "A",
        "authorized_official_last_name": "PRICE",
        "authorized_official_first_name": "TEDDY",
        "authorized_official_middle_name": "RAY",
        "authorized_official_title_or_position": "MANAGING MEMBER/CEO",
        "authorized_official_telephone_number": "318-648-4116",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://www.cms.gov/research-statistics-data-systems/electronic-submission-medical-documentation-esmd/cms-health-information-handler",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.13.34.110.1.998.01",
            "affiliationName": "CMS HIH",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CMS esMD eMDR",
            "address_1": "7500 Security Blvd",
            "city": "Baltimore",
            "state": "MD",
            "country_code": "US",
            "postal_code": "212441849",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Baton Rouge, LA

Sources for this page

Verify at the official NPI Registry.