The Glen Retirement System

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

449 Issued in LA

Legal business name

THE GLEN RETIREMENT SYSTEM

Practice address

403 E Flournoy Lucas Rd
Shreveport, LA 71115-3906

Phone

(318) 798-3500

Fax

(318) 798-7988

NPI assigned

Oct 17, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Debra D. Williams

Title

Chief Financial Officer

Phone

(318) 798-3500

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Village Health Care Doing business as

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

Skilled nursing facility certification: CCN 195533

Legal name

THE GLEN RETIREMENT SYSTEM

Doing business as

VILLAGE HEALTH CARE

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF distinct part

Participating since

Oct 8, 2001

Last certification

May 15, 2025

Beds

126

Ownership / control type

Nonprofit Corporation

Multi-facility organization

People of Faith, Inc d/b/a Royal Oaks Lifecare Community

Organization structure

CorporationNon-profit

Incorporated

Nov 28, 1898 in LA

Enrollment address

403 East Flournoy Lucas Road
Village Health Care
Shreveport, LA 71115-3906

Nursing home name

VILLAGE HEALTH CARE AT THE GLEN

Listed as

Village Health Care at The GlenCCN 195533

Overall star rating

1 of 5

Health inspections

1 of 5

Staffing

3 of 5

Quality measures

3 of 5

Type

Medicare and Medicaid

Ownership

Non profit - Corporation

Certified

Oct 8, 2001

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

126100.1 residents per day on average

Abuse citation

Cited for abuse (Care Compare abuse icon)

Penalties (3 years)

1Fines totaling $12,735

Processed by Care Compare on Aug 1, 2026.

Tax ID family

The Glen Retirement Sys3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• The Glen Retirement System

  • Skilled Nursing Facility
  • Shreveport, LA
  • NPI 1275614497
  NPD tax ID
• The Glen Retirement System

  • Durable Medical Equipment & Medical Supplies
  • Shreveport, LA
  • NPI 1306963582
  NPD tax ID

All disclosed owners & managing parties 16

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.

• Robert C Hernandez, MD

  • Internal Medicine Physician
  • Shreveport, LA
  • NPI 1043247745

  Adp of the SNF

  CMS ownership

Practitioners 2

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

• Robert C Hernandez, MD

  • Internal Medicine Physician
  • Shreveport, LA
  • NPI 1043247745
  NPD (past)
• Cody Tingle, M.D.

  • Internal Medicine Physician
  • Shreveport, LA
  • NPI 1699031237
  NPD (past)

Affiliated clinicians 2

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

• Robert C Hernandez, MD

  • Internal Medicine Physician
  • Shreveport, LA
  • NPI 1043247745

  Nursing home

  Care Compare affiliation
• Cody Tingle, M.D.

  • Internal Medicine Physician
  • Shreveport, LA
  • NPI 1699031237

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1821178575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "403 E FLOURNOY LUCAS RD",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711153906",
            "telephone_number": "318-798-3500",
            "fax_number": "318-798-7988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "403 E FLOURNOY LUCAS RD",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711153906",
            "telephone_number": "318-798-3500",
            "fax_number": "318-798-7988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE GLEN RETIREMENT SYSTEM",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "DEBRA",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "318-798-3500",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "LA",
            "license": "449",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1516864",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Village Health Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Skilled Nursing Facility in Shreveport, LA
• Providers in Shreveport, 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 Aug 22, 2020; 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.