Organization Active NPI

NW la War Veterans Home

  • Skilled Nursing Facility
  • Bossier City, LA
National Provider Identifier
1902955636
Registry record updated Oct 3, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
NW LA WAR VETERANS HOME
Practice address
3130 Arthur Ray Teague Parkway
Bossier City, LA 71112
Phone
(318) 741-2763
NPI assigned
Jan 10, 2007
Organization subpart
Yes
Parent organization
LOUISIANA DEPARTMENT OF VETERANS AFFAIRSAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 3, 2013

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

Authorized official

Name
Mr. Byron Neal Hines
Title
Administrator
Phone
(318) 741-2763

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

3130 Arthur Ray Teague Parkway
Bossier City, LA 71112

Mailing address

3130 Arthur Ray Teague Parkway
Bossier City, LA 71112
Phone (318) 741-2763

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070207000693 LA Part A Provider - Skilled Nursing Facility 2567464381 Practice locations: Bossier City, LA

Skilled nursing facility certification: CCN 195623

Legal name
NW LA WAR VETERANS HOME
Certification status
Active
Provider type (POS)
Nursing home – SNF (Medicare) only
Participating since
May 8, 2007
Last certification
Jul 2, 2024
Beds
156 (8 certified)
Ownership / control type
State
Multi-facility organization
Louisiana Department of Veteran Affairs
Organization structure
OtherNon-profit
Enrollment address
3130 Arthur Ray Teague Parkway
Northwest la War Veteran's Home
Bossier City, LA 71112-2800
Nursing home name
NORTHWEST LOUISIANA VETERANS HOME

Care Compare: Nursing home

Medicare Care Compare
Listed as
Northwest Louisiana Veterans HomeCCN 195623 · All quality measures
Overall star rating
4 of 5
Health inspections
5 of 5
Quality measures
1 of 5
Type
Medicare
Ownership
Government - State
Certified
May 8, 2007
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
83.0 residents per day on average

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory
Part of
NW la War Veterans Home

Ownership & related parties

All disclosed owners & managing parties 2

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

NameRoleSinceShare
David Colvin Individual Contracted Managing EmployeeMD; Jan 1, 2021 4%
Adp of the SNF Dec 26, 2024
Wesley J Pepitone Individual W-2 Managing EmployeeAd; Aug 1, 2016 100%
Adp of the SNF Dec 26, 2024

Owners & managing parties with NPI records 1

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

NPI Registry JSON

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

{
    "created_epoch": "1168387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1380758400000",
    "number": "1902955636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3130 ARTHUR RAY TEAGUE PARKWAY",
            "city": "BOSSIER CITY",
            "state": "LA",
            "postal_code": "71112",
            "telephone_number": "318-741-2763"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3130 ARTHUR RAY TEAGUE PARKWAY",
            "city": "BOSSIER CITY",
            "state": "LA",
            "postal_code": "71112",
            "telephone_number": "318-741-2763"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NW LA WAR VETERANS HOME",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LOUISIANA DEPARTMENT OF VETERANS AFFAIRS",
        "enumeration_date": "2007-01-10",
        "last_updated": "2013-10-03",
        "status": "A",
        "authorized_official_last_name": "HINES",
        "authorized_official_first_name": "BYRON",
        "authorized_official_middle_name": "NEAL",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "318-741-2763",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bossier City, LA

Sources for this page

Verify at the official NPI Registry.