Tri-State Health Services of Cenla, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

772 Issued in LA

Legal business name

TRI-STATE HEALTH SERVICES OF CENLA, LLC

Doing business as

Heritage Nursing Center

Practice address

1745 Bailey Ave
Haynesville, LA 71038-5411

Phone

(318) 624-1166

Fax

(318) 624-0269

NPI assigned

Aug 17, 2005

Organization subpart

No

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

Authorized official

Name

Mr. Tollie Bordeaux

Title

Owner

Phone

(318) 448-8778

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• HERITAGE NURSING CENTER Doing business as

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

Skilled nursing facility certification: CCN 195518

Legal name

TRI-STATE HEALTH SERVICES OF CENLA, LLC

Doing business as

HERITAGE NURSING CENTER

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF distinct part

Participating since

Mar 22, 2001

Last certification

Mar 26, 2025

Beds

82

Ownership / control type

Corporation

Multi-facility organization

Paramount Healthcare Consultants

Organization structure

LLCProprietary

Enrollment address

1745 Bailey Ave
Heritage Nursing Center
Haynesville, LA 71038-5411

Nursing home name

HERITAGE NURSING CENTER

Affiliated entity

PARAMOUNT HEALTHCARE CONSULTANTS

Listed as

Heritage Nursing CenterCCN 195518 · All quality measures

Overall star rating

3 of 5

Health inspections

4 of 5

Staffing

3 of 5

Quality measures

1 of 5

Type

Medicare and Medicaid

Ownership

For profit - Corporation

Certified

Mar 22, 2001

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

8237.0 residents per day on average

Chain

Paramount Healthcare Consultants14 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

All disclosed owners & managing parties 6

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

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

• Clint Chachere Butler, MD

  • Family Medicine Physician
  • Haynesville, LA
  • NPI 1306876826

  Adp of the SNF

  CMS ownership

Practitioners 1

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

• Clint Chachere Butler, MD

  • Family Medicine Physician
  • Haynesville, LA
  • NPI 1306876826
  NPD (past)

Affiliated clinicians 4

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Samuel K Abshire, MD

  • Geriatric Medicine (Family Medicine) Physician
  • Haynesville, LA
  • NPI 1407883820

  Nursing home

  Care Compare affiliation
• Clint Chachere Butler, MD

  • Family Medicine Physician
  • Haynesville, LA
  • NPI 1306876826

  Nursing home

  Care Compare affiliation
• Donald Scott Haynes, M.D.

  • Internal Medicine Physician
  • Homer, LA
  • NPI 1306957386

  Nursing home

  Care Compare affiliation
• Clifton Wales Salmon Jr., M.D.

  • Family Medicine Physician
  • Homer, LA
  • NPI 1346205507

  Nursing home

  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1124236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196208000000",
    "number": "1689666489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 12486",
            "city": "ALEXANDRIA",
            "state": "LA",
            "postal_code": "713152486",
            "telephone_number": "318-448-8778",
            "fax_number": "318-448-8895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1745 BAILEY AVE",
            "city": "HAYNESVILLE",
            "state": "LA",
            "postal_code": "710385411",
            "telephone_number": "318-624-1166",
            "fax_number": "318-624-0269"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRI-STATE HEALTH SERVICES OF CENLA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-17",
        "last_updated": "2007-11-28",
        "status": "A",
        "authorized_official_last_name": "BORDEAUX",
        "authorized_official_first_name": "TOLLIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "318-448-8778",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "LA",
            "license": "772",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1521183",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "30377",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HERITAGE NURSING CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Samantha Modisette
• Eddy Waller Sherman II, DDS
• Springhill Medical Services, Inc. (Butler-Abshire Medical Clinic)
• Ted S Pharmacy LLC (Ted's Pharmacy)
• Ted'S Pharmacy
• Dan Thomas Ware, RPH
• Bethany Willis, IBCLC
• WK Butler-Abshire Medical Clinic

• Skilled Nursing Facility in Haynesville, LA
• Providers in Haynesville, LA by specialty
• Skilled Nursing Facility in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2007; 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.

Verify at the official NPI Registry.