Organization Active NPI

Grace Nursing Home Inc

  • Skilled Nursing Facility
  • Clinton, LA
National Provider Identifier
1861488751
Registry record updated Jul 16, 2007
On this page

Key facts

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

Updated by the provider on Jul 16, 2007

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1515094MedicaidLA
33857OtherLABLUE CROSS BLUE SHIELD LA

Other names 1

  • Grace Health and Rehabilitation Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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
CorporationProprietary
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 HomeCCN 195258
Overall star rating
3 of 5
Health inspections
3 of 5
Staffing
3 of 5
Quality measures
2 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Jul 26, 1990
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
128117.3 residents per day on average
Penalties (3 years)
2Fines totaling $48,357

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
19D0673270Grace Nursing Home Inc1181 Highway 19, Slaughter, LA 70777Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Locations

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.

NameRoleSinceShare
Martin Stott Individual 5% Or Greater Direct Ownership Interest Dec 4, 2009 50%
Corporate Director Dec 4, 2009
Jodie Stott Individual 5% Or Greater Direct Ownership Interest Dec 4, 2009 50%
Corporate Director Dec 4, 2009
Ruby Jones Individual W-2 Managing Employee Nov 17, 2009
Martin Stott Individual Corporate DirectorAdministrator Mar 2, 2016 100%
Donna M Widner Individual Corporate DirectorCorporate Billing 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.

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

Verify at the official NPI Registry.