Prairie Manor, Inc.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

452 Issued in LA

Legal business name

PRAIRIE MANOR, INC.

Doing business as

Prairie Manor Nursing Home

Practice address

1050 Edwin Elliott Dr.
Pine Prairie, LA 70576

Phone

(337) 599-2031

Fax

(337) 599-2548

NPI assigned

Nov 22, 2005

Last updated

Dec 10, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Sandra Book

Title

Administrator

Phone

(337) 599-2031

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Prairie Manor Nursing Home Doing business as

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1891778981. Details of each certification follow.

• CCN 195577 Skilled nursing facility · Active · Details

Skilled nursing facility certification: CCN 195577

Legal name

PRAIRIE MANOR, INC.

Doing business as

PRAIRIE MANOR NURSING HOME

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Apr 11, 2003

Last certification

Aug 28, 2024

Beds

100

Ownership / control type

Nonprofit Corporation

Organization structure

CorporationNon-profit

Incorporated

Aug 20, 1987 in LA

Enrollment address

1050 Edwin Elliott Drive
Pine Prairie, LA 70576-0500

Nursing home name

PRAIRIE MANOR NURSING HOME

Listed as

Prairie Manor Nursing HomeCCN 195577 · All quality measures

Overall star rating

4 of 5

Health inspections

4 of 5

Staffing

4 of 5

Quality measures

2 of 5

Type

Medicare and Medicaid

Ownership

Non profit - Corporation

Certified

Apr 11, 2003

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

10082.7 residents per day on average

Processed by Care Compare on Aug 1, 2026.

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

All disclosed owners & managing parties 13

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

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• James Brandon Fontenot, MD

  • Internal Medicine Physician
  • Ville Platte, LA
  • NPI 1770524332
  NPD (past)
• Jeffery Jake Lafleur, M.D.

  • Internal Medicine Physician
  • Ville Platte, LA
  • NPI 1578559407
  NPD (past)
• Nicholas Dupre Lahaye, M.D.

  • Family Medicine Physician
  • Ville Platte, LA
  • NPI 1013988799
  NPD (past)

Affiliated clinicians 5

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

• James Brandon Fontenot, MD

  • Internal Medicine Physician
  • Ville Platte, LA
  • NPI 1770524332

  Nursing home

  Care Compare affiliation
• Thomas Glenn Fontenot, M.D,

  • Family Medicine Physician
  • Ville Platte, LA
  • NPI 1427199207

  Nursing home

  Care Compare affiliation
• Jeffery Jake Lafleur, M.D.

  • Internal Medicine Physician
  • Ville Platte, LA
  • NPI 1578559407

  Nursing home

  Care Compare affiliation
• Nicholas Dupre Lahaye, M.D.

  • Family Medicine Physician
  • Ville Platte, LA
  • NPI 1013988799

  Nursing home

  Care Compare affiliation
• Oscar Rodriguez, M.D.

  • Specialist
  • Mamou, LA
  • NPI 1619983780

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1132617600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1260403200000",
    "number": "1891778981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 500",
            "address_2": "1050 EDWIN ELLIOT DR.",
            "city": "PINE PRAIRIE",
            "state": "LA",
            "postal_code": "705760500",
            "telephone_number": "337-599-2031",
            "fax_number": "337-599-2548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1050 EDWIN ELLIOTT DR.",
            "city": "PINE PRAIRIE",
            "state": "LA",
            "postal_code": "70576",
            "telephone_number": "337-599-2031",
            "fax_number": "337-599-2548"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRAIRIE MANOR, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-22",
        "last_updated": "2009-12-10",
        "status": "A",
        "authorized_official_last_name": "BOOK",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "337-599-2031",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "LA",
            "license": "452",
            "primary": true
        },
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "19E379",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Prairie Manor Nursing Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Pine Prairie Family Healthcare, LLC
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• Play With Purpose Pediatric Therapy, LLC
• Carmen Nicole Rollins, FNP
• Savoy Medical Management Group, Inc. (Pine Prairie Community Clinic)
• Debra Vidrine, APRN

• Skilled Nursing Facility in Pine Prairie, LA
• Providers in Pine Prairie, 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 Dec 10, 2009; 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.