NPIMap

Organization Active NPI

Priority Group Holdings, L.L.C.

  • Skilled Nursing Facility
  • New Orleans, LA
National Provider Identifier
1699147694
Registry record updated Jan 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
PRIORITY GROUP HOLDINGS, L.L.C.
Practice address
4502 General Meyer Ave
New Orleans, LA 70131-3531
Phone
(504) 361-7923
Fax
(504) 368-4807
NPI assigned
Oct 29, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2016

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

Authorized official

Name
Mr. Douglas B Boulware
Title
Manager
Phone
(318) 658-9978

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

4502 General Meyer Ave
New Orleans, LA 70131-3531

Mailing address

4502 General Meyer Ave
New Orleans, LA 70131-3531
Phone (504) 361-7923

Other identifiers 1

IdentifierTypeStateIssuer
2203782578OtherLADHH LICENSE

Other names 1

  • Jo Ellen Smith Convalescent Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160302001140 LA Part A Provider - Skilled Nursing Facility 9133422926 Practice locations: New Orleans, LA

Skilled nursing facility certification: CCN 195204

Legal name
PRIORITY GROUP HOLDINGS, L.L.C.
Doing business as
JO ELLEN SMITH CONVALESCENT CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Aug 19, 1986
Last certification
Mar 19, 2025
Beds
180
Ownership / control type
Corporation
Organization structure
LLCProprietary
Incorporated
Jul 23, 2015 in LA
Enrollment address
4502 General Meyer Ave
New Orleans, LA 70131-3531
Nursing home name
JO ELLEN SMITH CONVALESCENT CENTER
Affiliated entity
PRIORITY MANAGEMENT

Care Compare: Nursing home

Medicare Care Compare
Listed as
Jo Ellen Smith Convalescent CenterCCN 195204
Overall star rating
4 of 5
Health inspections
4 of 5
Staffing
2 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Aug 19, 1986
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
180119.4 residents per day on average
Chain
Priority Management38 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory

Locations

4502 General Meyer Ave
New Orleans, LA 70131
Phone (504) 361-7923

Ownership & related parties

All disclosed owners & managing parties 23

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

NameRoleSinceShare
Douglas B Boulware Individual 5% Or Greater Direct Ownership Interest Jul 23, 2015 50%
Operational/Managerial Control Jul 23, 2015
Direct Ownership Interest Jul 23, 2015 50%
Individual Adp of the SNF Apr 1, 2019
Blake Lipari Individual Adp of the SNF Apr 19, 2025
Organization, Bossier City, LA LLC Adp of the SNF Oct 1, 2016
Karen Boulware Individual 5% Or Greater Indirect Ownership Interest Oct 1, 2016 12.5%
Jonnay R Burks Individual Adp of the SNF Jan 1, 2023
Organization, Bossier City, LA LLC, Consulting firm Adp of the SNF Oct 1, 2016
Individual Adp of the SNF Oct 1, 2016
Individual Adp of the SNF Apr 1, 2019
Priority Management Group, LLC Organization, Dallas, TX LLC, Management services company, Chain home office Operational/Managerial Control Oct 1, 2016
Adp of the SNF Oct 1, 2016
Organization, Lake Charles, LA LLC Adp of the SNF Apr 1, 2019
Organization, Lake Charles, LA LLC Adp of the SNF Apr 1, 2019
Steven D Boulware Individual 5% Or Greater Indirect Ownership Interest Oct 1, 2016 12.5%
Operational/Managerial Control Jan 1, 2023
Indirect Ownership Interest Oct 1, 2016 12.5%
Parker C Bauder Individual 5% Or Greater Indirect Ownership Interest Aug 20, 2021 6.25%
Kelly P Bauder Individual 5% Or Greater Indirect Ownership Interest Aug 20, 2021 6.25%
Progressive Rehab Solutions, LLC Organization, Dallas, TX LLC Adp of the SNF Jan 1, 2023
Individual Adp of the SNF Apr 1, 2019
Madison R Bauder Individual 5% Or Greater Indirect Ownership Interest Aug 20, 2021 6.25%
Organization, Youngsville, LA LLC Adp of the SNF Oct 1, 2015
FBGM, L.L.C. Organization, Shreveport, LA LLC, Holding company, For-profit, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Oct 1, 2016 25%
5% Or Greater Security Interest Oct 1, 2016 25%
William M Bauder Individual 5% Or Greater Indirect Ownership Interest Aug 20, 2021 6.25%
Indirect Ownership Interest Aug 20, 2021 6.25%
Bertha H Daniels Individual Adp of the SNF Apr 18, 2025
Bauder Family Investments, LLC Organization, Baton Rouge, LA LLC, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Aug 20, 2021 25%
5% Or Greater Security Interest Aug 20, 2021 25%

Owners & managing parties with NPI records 1

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

Facilities with the same owner 22

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

View all 22

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 4

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": "1446076800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1451692800000",
    "number": "1699147694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4502 GENERAL MEYER AVE",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701313531",
            "telephone_number": "504-361-7923",
            "fax_number": "504-368-4807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4502 GENERAL MEYER AVE",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701313531",
            "telephone_number": "504-361-7923",
            "fax_number": "504-368-4807"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIORITY GROUP HOLDINGS, L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-29",
        "last_updated": "2016-01-02",
        "status": "A",
        "authorized_official_last_name": "BOULWARE",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "318-658-9978",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DHH LICENSE",
            "identifier": "2203782578",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jo Ellen Smith Convalescent Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in New Orleans, LA

Sources for this page

Verify at the official NPI Registry.