Organization Active NPI

Virginia Hall Nursing Home

  • Skilled Nursing Facility
  • Shreveport, LA
National Provider Identifier
1730124488
Registry record updated Dec 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
284 Issued in LA
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

Updated by the provider on Dec 1, 2008

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1516597MedicaidLA

Other names 1

  • Progressive Care Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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
CorporationNon-profit
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 CenterCCN 195136
Overall star rating
3 of 5
Health inspections
4 of 5
Staffing
4 of 5
Quality measures
1 of 5
Type
Medicare and Medicaid
Ownership
Non profit - Corporation
Certified
Apr 1, 1978
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
4831.9 residents per day on average

Processed by Care Compare on Aug 1, 2026.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
19D0671425Virginia Hall Nursing Home2715 Albert L Bicknell Drive, Shreveport, LA 71103Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

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.

NameRoleSinceShare
Willis Knighton Medical Center, Inc. Organization, Shreveport, LA Corporation 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 Individual Corporate Director Nov 1, 1983
Debra Crump Individual Operational/Managerial Control Jun 1, 2019
Managing Control - Governing BodyAdministrator Jun 1, 2019
Adp of the SNF Apr 28, 2025
Peggy Gavin Individual Corporate OfficerSenior Vice President Jan 1, 2018
Mary Jane Ward Individual Corporate OfficerSenior Vice President Aug 1, 2024
Lamar P. Pugh Individual Corporate DirectorTrustee Dec 14, 2021
Eugene Bryson Individual Corporate DirectorTrustee May 27, 2014
Raymond J. Lasseigne Individual Corporate DirectorTrustee Jun 28, 2021
James K Elrod Individual Corporate DirectorBoard Member Aug 1, 1981
Timothy a Nicholls Individual Adp of the SNF Sep 19, 2025
Jason E Cobb Individual Corporate OfficerSenior Vice President Jan 1, 2023
Elaine J Simpkins Individual Corporate DirectorTrustee Jun 2, 2015
Richard H Sale Individual Corporate DirectorTrustee Jan 28, 2014
Danielle Faris Individual Corporate DirectorDirector of Hospital Compliance Jun 1, 2023
Frank B Hughes Individual Corporate DirectorTrustee May 1, 1996
Jerry a Fielder Individual Corporate OfficerPresident Nov 28, 2017
Brian Crawford Individual Corporate OfficerSenior Vice President Jan 9, 2019
Deborah D. Olds Individual Corporate OfficerTrustee Feb 21, 2023
Organization, Shreveport, LA LLC 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.

Facilities with the same owner 1

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

Practitioners & affiliated clinicians

Practitioners 1

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

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

Verify at the official NPI Registry.