NPIMap

Organization Active NPI

Lakeshore Manor Nursing and Rehab LLC

  • Skilled Nursing Facility
  • Slidell, LA
National Provider Identifier
1891384558
Registry record updated Jun 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
LAKESHORE MANOR NURSING AND REHAB LLC
Practice address
1400 Lindberg Dr
Slidell, LA 70458-8056
Phone
(985) 641-4985
Fax
(985) 646-0793
NPI assigned
Jan 15, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2026

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

Authorized official

Name
Donald J. Knox
Title
Ceo
Phone
(740) 359-5401

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

1400 Lindberg Dr
Slidell, LA 70458-8056

Mailing address

10401 Linn Station Rd Ste 300
Louisville, KY 40223-3825
Phone (270) 336-1050

Other names 1

  • Trinity Neurologic Rehabilitation Center Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://199.119.81.30:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRResponse_Service Other eSolutions Inc.

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220824003860 LA Part A Provider - Skilled Nursing Facility 2668856675 Practice locations: Slidell, LA

Skilled nursing facility certification: CCN 195177

Legal name
LAKESHORE MANOR NURSING AND REHAB LLC
Doing business as
LAKESHORE MANOR NURSING & REHAB
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF distinct part
Participating since
Jan 15, 1985
Last certification
Jan 12, 2025
Beds
110
Ownership / control type
Limited Liability Corporation
Multi-facility organization
Volare Health LLC
Organization structure
LLCProprietary
Enrollment address
1400 Lindberg Dr
Slidell, LA 70458-8056
Nursing home name
LAKESHORE MANOR NURSING & REHAB
Affiliated entity
VOLARE HEALTH

Care Compare: Nursing home

Medicare Care Compare
Listed as
Lakeshore Manor Nursing & RehabCCN 195177
Overall star rating
1 of 5
Health inspections
1 of 5
Staffing
1 of 5
Quality measures
2 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Jan 15, 1985
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
11082.0 residents per day on average
Chain
Volare Health16 facilities in the chain
Special focus status
SFF Candidate
Penalties (3 years)
4Fines totaling $249,106

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
19D0868766Lakeshore Manor Nursing & Rehab LLC1400 Lindberg Street, Slidell, LA 70458Certificate of waiverMar 31, 2027

National Provider Directory

National Provider Directory

Locations

9026 Jefferson Hwy
Bldg 5
Baton Rouge, LA 70809

Ownership & related parties

All disclosed owners & managing parties 20

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Organization, Louisville, KY LLC, For-profit Adp of the SNF Nov 28, 2022
La10 Holdings LLC Organization, Louisville, KY LLC, Holding company, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Jul 25, 2023 100%
Adp of the SNF Jul 26, 2022
La 10 Opco Holdco LLC Organization, Louisville, KY Created for acquisition, LLC, Holding company, For-profit, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Jul 26, 2022 100%
Leonard Treanor Individual Operational/Managerial Control Aug 18, 2023
Adp of the SNF Aug 18, 2023
Individual Adp of the SNF Oct 28, 2024
Lakeshore Manor Nursing & Rehab Propco LLC Organization, Louisville, KY Created for acquisition, LLC, For-profit, Owned by another organization or individual 5% Or Greater Mortgage Interest Jul 26, 2022 100%
Adp of the SNF Jul 26, 2022
Individual Adp of the SNF Dec 1, 2022
Individual Adp of the SNF Jan 1, 2024
Benjamin Sparks Individual Operational/Managerial Control Apr 5, 2024
La 10 Pinnacle Holdco LLC Organization, Louisville, KY LLC, Holding company, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Jul 26, 2022 100%
Adp of the SNF Jul 26, 2022
Individual Adp of the SNF Nov 28, 2022
Individual Adp of the SNF Jul 25, 2023
Organization, Hackensack, NJ For-profit Adp of the SNF Feb 27, 2025
Chaim Hagar Individual 5% Or Greater Indirect Ownership Interest Jul 25, 2023 50%
Adp of the SNF Jul 26, 2022
Individual Adp of the SNF Feb 24, 2025
Volare Health LLC Organization, Louisville, KY LLC, Management services company, Consulting firm, For-profit Operational/Managerial Control Jan 1, 2024
Adp of the SNF Feb 26, 2025
Paul Duplessis Individual Operational/Managerial Control Oct 30, 2024
Adp of the SNF Oct 30, 2024
Donald Knox Individual Corporate OfficerChief Executive Officer Apr 5, 2024 100%
Adp of the SNF Jul 24, 2023
Individual Adp of the SNF Mar 18, 2024
Eliezer Schwartz Individual 5% Or Greater Indirect Ownership Interest Jul 25, 2023 50%
Corporate OfficerManager Aug 22, 2023
Operational/Managerial Control Jul 26, 2022
Adp of the SNF Jul 26, 2022

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Facilities with the same owner 15

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 15

Practitioners & affiliated clinicians

Practitioners 2

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": "1610668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1781049600000",
    "number": "1891384558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10401 LINN STATION RD STE 300",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402233825",
            "telephone_number": "270-336-1050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 LINDBERG DR",
            "city": "SLIDELL",
            "state": "LA",
            "postal_code": "704588056",
            "telephone_number": "985-641-4985",
            "fax_number": "985-646-0793"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKESHORE MANOR NURSING AND REHAB LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-15",
        "last_updated": "2026-06-10",
        "certification_date": "2026-06-10",
        "status": "A",
        "authorized_official_last_name": "KNOX",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "740-359-5401"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://199.119.81.30:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRResponse_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.1066.1",
            "affiliationName": "eSolutions Inc.",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CSV",
            "address_1": "8215 W 108th Ter",
            "city": "Overland Park",
            "state": "KS",
            "country_code": "US",
            "postal_code": "662101661",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Trinity Neurologic Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Slidell, LA

Sources for this page

Verify at the official NPI Registry.