Active NPI
Arkansas Elder Outreach of Little Rock, Inc
Doing business as Encore Healthcare & Rehabilitation
- Skilled Nursing Facility
- Crowley, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 941
- Legal business name
- ARKANSAS ELDER OUTREACH OF LITTLE ROCK, INC
- Doing business as
- Encore Healthcare & Rehabilitation
- Practice address
- 19110 Crowley Eunice Hwy
Crowley, LA 70526-0888 - Phone
- (337) 783-5533
- Fax
- (337) 788-1970
- NPI assigned
- Dec 1, 2006
- Last updated
- May 7, 2021
- 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
- Bonnie Quibodeaux
- Title
- Cfo
- Phone
- (225) 769-7960
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 941 | LA | Primary |
Addresses
Primary practice location
19110 Crowley Eunice Hwy
Crowley, LA 70526-0888
Mailing address
19110 Crowley-Eunice Hwy
Crowley, LA 70526-4124
Phone (337) 783-5533
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1512656 | Medicaid | LA |
Other names 1
- Encore Healthcare & Rehabilitation
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100113000292 | LA | Part A Provider - Skilled Nursing Facility | 4880505858 | Practice locations: Crowley, LA |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1730257296. Details of each certification follow.
Skilled nursing facility certification: CCN 195426
- Legal name
- ARKANSAS ELDER OUTREACH OF LITTLE ROCK, INC.
- Doing business as
- ENCORE HEALTHCARE & REHABILITATION
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Jul 1, 1997
- Last certification
- Jun 20, 2024
- Beds
- 73
- Ownership / control type
- Nonprofit Corporation
- Multi-facility organization
- Arkansas Elder Outreach of Little Rock, Inc
- Organization structure
- Corporation
- Incorporated
- Dec 26, 2002 in AR
- Enrollment address
- 19110 Crowley Eunice Hwy
Crowley, LA 70526-0888 - Nursing home name
- THE ENCORE HEALTHCARE AND REHABILITATION CENTER
- Affiliated entity
- ELDER OUTREACH NURSING & REHABILITATION
Other NPIs with the same Medicare PAC ID 4
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
-
dba Southwind Nursing & Rehab Center
- Skilled Nursing Facility
- Crowley, LA
- NPI 1669559910
4880505858
-
dba Eastridge Nursing Center
- Skilled Nursing Facility
- Abbeville, LA
- NPI 1871670059
4880505858
-
dba The Broadway Nursing and Rehabilitation Center
- Skilled Nursing Facility
- Lockport, LA
- NPI 1407933674
4880505858
-
dba Pelican Pointe Healthcare and Rehabilitaiton
- Skilled Nursing Facility
- Maurice, LA
- NPI 1881771012
4880505858
Care Compare: Nursing home
Medicare Care Compare- Listed as
- The Encore Healthcare and Rehabilitation Center
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- Non profit - Corporation
- Certified
- Jul 1, 1997
- Medicare certification status
- Active
- Certified beds
- 73
- Chain
- Elder Outreach Nursing & Rehabilitation
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 |
|---|---|---|---|
| 19D0461166 | Encore Healthcare & Rehabilitation | Certificate of waiver | Aug 31, 2026 |
National Provider Directory
National Provider Directory- Tax ID family
- Arkansas Elder Outreach of Little Rock Inc
Other organizations with this tax ID 4
Organizations that report the same tax identification number in the National Provider Directory.
-
dba Southwind Nursing & Rehab Center
- Skilled Nursing Facility
- Crowley, LA
- NPI 1669559910
-
dba Eastridge Nursing Center
- Skilled Nursing Facility
- Abbeville, LA
- NPI 1871670059
-
dba The Broadway Nursing and Rehabilitation Center
- Skilled Nursing Facility
- Lockport, LA
- NPI 1407933674
-
dba Pelican Pointe Healthcare and Rehabilitaiton
- Skilled Nursing Facility
- Maurice, LA
- NPI 1881771012
Locations
1120 W Hutchinson Ave
Crowley, LA 70526
Phone (337) 783-5533
405 Milton Rd
Maurice, LA 70555
Phone (337) 893-4449
Ownership & related parties
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Todd Cole | Corporate Director | Sep 16, 2015 | |
| Jude Sittig | Corporate Director | Feb 17, 2010 | |
| Bonnie Quibodeaux | Corporate Officer | Feb 1, 2018 | |
| Other | Feb 1, 2018 | ||
| Kati Presas | Corporate Director | Dec 15, 2021 | |
| Douglas M Walsh | Corporate Director | Jan 1, 2010 | |
| Cory Gatte | W-2 Managing Employee | May 8, 2013 |
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.
-
- Internal Medicine Physician
- Crowley, LA
- NPI 1770634461
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": "1164931200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1620345600000",
"number": "1730257296",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19110 CROWLEY-EUNICE HWY",
"city": "CROWLEY",
"state": "LA",
"postal_code": "705264124",
"telephone_number": "337-783-5533",
"fax_number": "337-788-1970"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19110 CROWLEY EUNICE HWY",
"city": "CROWLEY",
"state": "LA",
"postal_code": "705260888",
"telephone_number": "337-783-5533",
"fax_number": "337-788-1970"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ARKANSAS ELDER OUTREACH OF LITTLE ROCK, INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-01",
"last_updated": "2021-05-07",
"certification_date": "2021-05-07",
"status": "A",
"authorized_official_last_name": "QUIBODEAUX",
"authorized_official_first_name": "BONNIE",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "225-769-7960"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "LA",
"license": "941",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1512656",
"state": "LA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Encore Healthcare & Rehabilitation",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Encore Healthcare & Rehabilitation",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Crowley, LA
- Nanette Marie Angelle, LPC
- Anytime Personal Care LLC
- Charles L Anzalone Sr., DDS
- Darren Arceneaux
- Arkansas Elder Outreach of Little Rock, Inc (Southwind Nursing & Rehab Center)
- Louchile Blones Arnoza, FNP-C
- Kathryn Ashley
- Angela Broussard Augustus, CPT
- Available Total Care, LLC
- B C Delahoussaye, Jr., M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2021; 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.