Cypress Point Nursing & Rehabilitation Center, LLC
Organization Active NPI Skilled Nursing Facility · Bossier City, LA
NPI 1851372973 · NPPES record last updated Jul 17, 2025
Key facts
- NPI
- 1851372973
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Skilled Nursing Facility 314000000X
- License
- 341 (LA)
- Legal business name
- CYPRESS POINT NURSING & REHABILITATION CENTER, LLC
- Practice address
- 4910 Airline Dr
Bossier City, LA 71111-6607 - Phone
- (318) 747-2700
- Fax
- (318) 747-5947
- NPI assigned
- Nov 7, 2005
- Organization subpart
- No
Authorized official
- Name
- Mr. Teddy Ray Price
- Title
- Managing Member
- Phone
- (318) 628-4116
Facilities with the same owner 23
Practitioners 5
-
Michael Alon Angelo, M.D.
-
Joel Anthony Casale, M.D.
-
Paul Taylor Guidry, M.D.
-
Clint N. Wilson, M.D.
Affiliated clinicians 3
-
Joel Anthony Casale, M.D.
-
Clint N. Wilson, M.D.
Medicare Care Compare: Nursing home
- Listed as
- Cypress Point Nursing & Rehabilitation Center
- Overall star rating
- ★★★★☆ 4 of 5
- Health inspections
- ★★★★☆ 4 of 5
- Staffing
- ★★★☆☆ 3 of 5
- Quality measures
- ★★★☆☆ 3 of 5
- Type
- Medicare and Medicaid
- Ownership
- For profit - Limited Liability company
- Certified
- Dec 1, 1997
- Medicare certification status
- Active
- Certified beds
- 142 · 136.7 residents per day on average
- Chain
- Central Management Company
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in LA
Skilled nursing facility certification: CCN 195452
- Legal name
- CYPRESS POINT NURSING & REHABILITATION CENTER, LLC
- Doing business as
- CYPRESS POINT NURSING & REHABILITATION CENTER
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Dec 1, 1997
- Last certification
- Jun 26, 2024
- Beds
- 142
- Ownership / control type
- Limited Liability Corporation
- Multi-facility organization
- Central Management Company, LLC
- Organization structure
- LLC · Proprietary
- Enrollment address
- 4910 Airline Dr
Bossier City, LA 71111 - Nursing home name
- CYPRESS POINT NURSING & REHABILITATION CENTER
- Affiliated entity
- CENTRAL MANAGEMENT COMPANY
All disclosed owners & managing parties 26
| Name | Role | Since | Share |
|---|---|---|---|
| |
Adp of the SNF | Dec 1, 1997 | |
| Teddy D Price |
Operational/Managerial Control | Mar 1, 2025 | |
| Adp of the SNF | Mar 1, 2025 | ||
| |
Adp of the SNF | Jan 1, 2010 | |
| |
Adp of the SNF | Apr 7, 2025 | |
| |
Adp of the SNF | Apr 7, 2025 | |
| Jeffrey Lee Cantrell |
Adp of the SNF | Oct 1, 2013 | |
| Holly Maumalanga |
5% Or Greater Indirect Ownership Interest | Mar 31, 2025 | 5.64% |
| Adp of the SNF | Mar 31, 2025 | ||
| Prico, Inc |
5% Or Greater Direct Ownership Interest | Jun 1, 1997 | 49% |
| Adp of the SNF | Jun 1, 1997 | ||
| Teddy R Price |
5% Or Greater Indirect Ownership Interest | Jun 1, 1997 | 75.78% |
| Operational/Managerial Control | Jun 1, 1997 | 100% | |
| Adp of the SNF | Jun 1, 1997 | ||
| Central Management Company, LLC |
Operational/Managerial Control | Dec 1, 1997 | 100% |
| Adp of the SNF | Dec 1, 1997 | ||
| |
Adp of the SNF | Mar 11, 2025 | |
| |
Adp of the SNF | Jan 1, 2011 | |
| |
Adp of the SNF | Feb 1, 2001 | |
| Dawn Rogers |
Adp of the SNF | Dec 1, 1997 | |
| |
Adp of the SNF | May 23, 2025 | |
| Sheila M Bolwahnn |
Adp of the SNF | Dec 1, 2008 | |
| James Shelton |
Adp of the SNF | Dec 1, 1997 | |
| |
Adp of the SNF | Mar 11, 2025 | |
| Hancock Whitney Bank |
5% Or Greater Mortgage Interest | Mar 1, 2023 | 55.89% |
| |
Adp of the SNF | Mar 11, 2025 | |
| |
Adp of the SNF | Apr 7, 2025 | |
| |
Adp of the SNF | Mar 11, 2025 | |
| Kisatchie Health, LLC |
5% Or Greater Direct Ownership Interest | Jun 1, 1997 | 51% |
| Adp of the SNF | Jun 1, 1997 | ||
| |
Adp of the SNF | Dec 1, 1997 | |
| |
Adp of the SNF | Apr 7, 2025 | |
| Freda P Zimmerman |
5% Or Greater Indirect Ownership Interest | Mar 31, 2025 | 12.39% |
| Adp of the SNF | Mar 31, 2025 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20110420000836 | LA | Part a Provider - Skilled Nursing Facility | 2466637285 | Practice locations: Bossier City, LA |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 341 | LA | Yes |
Addresses
Primary practice location
4910 Airline Dr
Bossier City, LA 71111-6607
Mailing address
2901 Douglas Dr
Bossier City, LA 71111-5807
Phone (318) 747-2700
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1520748 | Medicaid | LA |
Other names
- Cypress Point Nursing & Rehabilitation Center
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://www.cms.gov/research-statistics-data-systems/electronic-submission-medical-documentation-esmd/cms-health-information-handler | Other | CMS HIH |
NPI Registry JSON
{
"created_epoch": "1131321600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1752710400000",
"number": "1851372973",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2901 DOUGLAS DR",
"city": "BOSSIER CITY",
"state": "LA",
"postal_code": "711115807",
"telephone_number": "318-747-2700",
"fax_number": "318-747-5947"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4910 AIRLINE DR",
"city": "BOSSIER CITY",
"state": "LA",
"postal_code": "711116607",
"telephone_number": "318-747-2700",
"fax_number": "318-747-5947"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CYPRESS POINT NURSING & REHABILITATION CENTER, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2005-11-07",
"last_updated": "2025-07-17",
"certification_date": "2025-07-17",
"status": "A",
"authorized_official_last_name": "PRICE",
"authorized_official_first_name": "TEDDY",
"authorized_official_middle_name": "RAY",
"authorized_official_title_or_position": "MANAGING MEMBER",
"authorized_official_telephone_number": "318-628-4116",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "LA",
"license": "341",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1520748",
"state": "LA"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "https://www.cms.gov/research-statistics-data-systems/electronic-submission-medical-documentation-esmd/cms-health-information-handler",
"affiliation": "Y",
"endpointDescription": "2.16.840.1.113883.13.34.110.1.998.01",
"affiliationName": "CMS HIH",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "CMS esMD eMDR",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CMS esMD eMDR",
"address_1": "7500 Security Blvd",
"city": "Baltimore",
"state": "MD",
"country_code": "US",
"postal_code": "212441849",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"organization_name": "Cypress Point Nursing & Rehabilitation Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Bossier City, LA
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- Jesse Dalton
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All providers in Bossier City, LA · Skilled Nursing Facility in Louisiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 17, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.