Active NPI
Virginia Hall Nursing Home
- Skilled Nursing Facility
- Shreveport, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 284
- Legal business name
- VIRGINIA HALL NURSING HOME
- Practice address
- 2715 Albert L Bicknell Dr
Shreveport, LA 71103-3925 - Phone
- (318) 212-8200
- Fax
- (318) 212-8220
- NPI assigned
- Jun 17, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Richard Eugene Boyter, N.F.A.
- Title
- Administrator
- Phone
- (318) 212-6461
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 284 | LA | Primary |
| Nursing Facility Supplies (DME) | 332BN1400X | LA | ||
| Parenteral & Enteral Nutrition Supplies (DME) | 332BP3500X | LA |
Addresses
Primary practice location
2715 Albert L Bicknell Dr
Shreveport, LA 71103-3925
Mailing address
2715 Albert L Bicknell Dr
Shreveport, LA 71103-3925
Phone (318) 212-8200
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1516597 | Medicaid | LA |
Other names 1
- Progressive Care Center
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20080924000387 | LA | Part A Provider - Skilled Nursing Facility | 9335216969 | Practice locations: Shreveport, LA |
Skilled nursing facility certification: CCN 195136
- Legal name
- VIRGINIA HALL NURSING HOME
- Doing business as
- PROGRESSIVE CARE CENTER
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Apr 1, 1978
- Last certification
- Feb 26, 2025
- Beds
- 48
- Ownership / control type
- Nonprofit Corporation
- Multi-facility organization
- Willis Knighton Health
- Organization structure
- Corporation
- Enrollment address
- 2550 Kings Hwy
Shreveport, LA 71103-3922 - Nursing home name
- PROGRESSIVE CARE CENTER
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Progressive Care Center
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- Non profit - Corporation
- Certified
- Apr 1, 1978
- Medicare certification status
- Active
- Certified beds
- 48
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 19D0671425 | Virginia Hall Nursing Home | Certificate of waiver | Aug 31, 2026 |
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
-
- Skilled Nursing Facility
- Shreveport, LA
- NPI 1144267451
Member Of
Ownership & related parties
All disclosed owners & managing parties 19
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Willis Knighton Medical Center, Inc. | 5% Or Greater Direct Ownership Interest | Sep 20, 1985 | 100% |
| Trustee of the SNF | Jul 1, 2007 | ||
| Adp of the SNF | Jul 30, 2025 | ||
| Pierre Blanchard | Corporate Director | Nov 1, 1983 | |
| Debra Crump | Operational/Managerial Control | Jun 1, 2019 | |
| Managing Control - Governing Body | Jun 1, 2019 | ||
| Adp of the SNF | Apr 28, 2025 | ||
| Peggy Gavin | Corporate Officer | Jan 1, 2018 | |
| Mary Jane Ward | Corporate Officer | Aug 1, 2024 | |
| Lamar P. Pugh | Corporate Director | Dec 14, 2021 | |
| Eugene Bryson | Corporate Director | May 27, 2014 | |
| Raymond J. Lasseigne | Corporate Director | Jun 28, 2021 | |
| James K Elrod | Corporate Director | Aug 1, 1981 | |
| Timothy a Nicholls | Adp of the SNF | Sep 19, 2025 | |
| Jason E Cobb | Corporate Officer | Jan 1, 2023 | |
| Elaine J Simpkins | Corporate Director | Jun 2, 2015 | |
| Richard H Sale | Corporate Director | Jan 28, 2014 | |
| Danielle Faris | Corporate Director | Jun 1, 2023 | |
| Frank B Hughes | Corporate Director | May 1, 1996 | |
| Jerry a Fielder | Corporate Officer | Nov 28, 2017 | |
| Brian Crawford | Corporate Officer | Jan 9, 2019 | |
| Deborah D. Olds | Corporate Officer | Feb 21, 2023 | |
| Trustee of the SNF | Sep 20, 1985 | ||
| Adp of the SNF | Apr 28, 2025 |
Owners & managing parties with NPI records 10
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Internal Medicine Physician
- Shreveport, LA
- NPI 1104889237
Corporate Director
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Shreveport, LA
- NPI 1003020579
5% Or Greater Direct Ownership Interest, Adp of the SNF, Trustee of the SNF
-
- General Acute Care Hospital
- Bossier City, LA
- NPI 1003968579
5% Or Greater Direct Ownership Interest, Adp of the SNF, Trustee of the SNF
-
- Skilled Nursing Facility
- Shreveport, LA
- NPI 1144267451
5% Or Greater Direct Ownership Interest, Adp of the SNF, Trustee of the SNF
-
- Home Health Agency
- Shreveport, LA
- NPI 1326093782
5% Or Greater Direct Ownership Interest, Adp of the SNF, Trustee of the SNF
-
- Community Based Hospice Care Agency
- Shreveport, LA
- NPI 1487693149
5% Or Greater Direct Ownership Interest, Adp of the SNF, Trustee of the SNF
-
- General Acute Care Hospital
- Shreveport, LA
- NPI 1568461572
5% Or Greater Direct Ownership Interest, Adp of the SNF, Trustee of the SNF
-
- Rehabilitation Hospital Unit
- Shreveport, LA
- NPI 1710039896
5% Or Greater Direct Ownership Interest, Adp of the SNF, Trustee of the SNF
-
- Psychiatric Hospital Unit
- Shreveport, LA
- NPI 1912059932
5% Or Greater Direct Ownership Interest, Adp of the SNF, Trustee of the SNF
Facilities with the same owner 1
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
- Rural Health Clinic/Center
- Coushatta, LA
- NPI 1801831169
Willis Knighton Medical Center, Inc.
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- Shreveport, LA
- NPI 1982713657
Affiliated clinicians 5
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": "1150502400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1228089600000",
"number": "1730124488",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2715 ALBERT L BICKNELL DR",
"city": "SHREVEPORT",
"state": "LA",
"postal_code": "711033925",
"telephone_number": "318-212-8200",
"fax_number": "318-212-8220"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2715 ALBERT L BICKNELL DR",
"city": "SHREVEPORT",
"state": "LA",
"postal_code": "711033925",
"telephone_number": "318-212-8200",
"fax_number": "318-212-8220"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VIRGINIA HALL NURSING HOME",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-17",
"last_updated": "2008-12-01",
"status": "A",
"authorized_official_last_name": "BOYTER",
"authorized_official_first_name": "RICHARD",
"authorized_official_middle_name": "EUGENE",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "318-212-6461",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "N.F.A."
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "LA",
"license": "284",
"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": "1516597",
"state": "LA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Progressive Care Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Shreveport, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2008; 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.