Active NPI
Grace Nursing Home Inc
- Skilled Nursing Facility
- Clinton, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 370
- Legal business name
- GRACE NURSING HOME INC
- Practice address
- 9725 Grace LN
Clinton, LA 70722-4925 - Phone
- (225) 683-8533
- Fax
- (225) 683-3222
- NPI assigned
- Sep 26, 2005
- 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. Sidney D Saint, NFA
- Title
- Administrator
- Phone
- (225) 683-8533
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nursing Facility/Intermediate Care Facility | 313M00000X | 370 | LA | |
| Skilled Nursing Facility | 314000000X | 370 | LA | Primary |
Addresses
Primary practice location
9725 Grace LN
Clinton, LA 70722-4925
Mailing address
PO Box 945
Clinton, LA 70722-0945
Phone (225) 683-8533
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1515094 | Medicaid | LA | |
| 33857 | Other | LA | BLUE CROSS BLUE SHIELD LA |
Other names 1
- Grace Health and Rehabilitation 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 |
|---|---|---|---|---|
| O20091210000350 | LA | Part A Provider - Skilled Nursing Facility | 9234279944 | Practice locations: Slaughter, LA |
Skilled nursing facility certification: CCN 195258
- Legal name
- GRACE NURSING HOME INC
- Doing business as
- GRACE HEALTH & REHABILITATION CENTER
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Jul 26, 1990
- Last certification
- Oct 16, 2024
- Beds
- 128
- Ownership / control type
- Corporation
- Multi-facility organization
- Diversified Healthcare
- Organization structure
- Corporation
- Incorporated
- Apr 19, 1978 in LA
- Enrollment address
- 1181 Highway 19
Slaughter, LA 70777-3404 - Nursing home name
- GRACE NURSING HOME
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Grace Nursing Home
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Corporation
- Certified
- Jul 26, 1990
- Medicare certification status
- Active
- Certified beds
- 128
- Penalties (3 years)
- 2
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 |
|---|---|---|---|
| 19D0673270 | Grace Nursing Home Inc | Certificate of waiver | Aug 31, 2026 |
National Provider Directory
National Provider DirectoryLocations
1181 Highway 19
Slaughter, LA 70777
Phone (225) 306-0030
Ownership & related parties
All disclosed owners & managing parties 5
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 |
|---|---|---|---|
| Martin Stott | 5% Or Greater Direct Ownership Interest | Dec 4, 2009 | 50% |
| Corporate Director | Dec 4, 2009 | ||
| Jodie Stott | 5% Or Greater Direct Ownership Interest | Dec 4, 2009 | 50% |
| Corporate Director | Dec 4, 2009 | ||
| Ruby Jones | W-2 Managing Employee | Nov 17, 2009 | |
| Martin Stott | Corporate Director | Mar 2, 2016 | 100% |
| Donna M Widner | Corporate Director | Dec 4, 2009 | 100% |
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Slaughter, LA
- NPI 1538166822
Affiliated clinicians 2
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": "1127692800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1184544000000",
"number": "1861488751",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 945",
"city": "CLINTON",
"state": "LA",
"postal_code": "707220945",
"telephone_number": "225-683-8533",
"fax_number": "225-683-3222"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9725 GRACE LN",
"city": "CLINTON",
"state": "LA",
"postal_code": "707224925",
"telephone_number": "225-683-8533",
"fax_number": "225-683-3222"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GRACE NURSING HOME INC",
"organizational_subpart": "NO",
"enumeration_date": "2005-09-26",
"last_updated": "2007-07-16",
"status": "A",
"authorized_official_last_name": "SAINT",
"authorized_official_first_name": "SIDNEY",
"authorized_official_middle_name": "D",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "225-683-8533",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "NFA"
},
"taxonomies": [
{
"code": "313M00000X",
"taxonomy_group": "",
"desc": "Nursing Facility/Intermediate Care Facility",
"state": "LA",
"license": "370",
"primary": false
},
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "LA",
"license": "370",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1515094",
"state": "LA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD LA",
"identifier": "33857",
"state": "LA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Grace Health and Rehabilitation Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Clinton, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2007; 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.