Avoyelles Manor, Inc.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

240 Issued in LA

Legal business name

AVOYELLES MANOR, INC.

Practice address

5682 Hwy 107 South
Dupont, LA 71329

Phone

(318) 922-3404

Fax

(318) 922-3680

NPI assigned

Jul 12, 2006

Last updated

Mar 16, 2011By 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

Mr. Philip Pepiton

Title

Administrator

Phone

(318) 922-3404

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1912922147. Details of each certification follow.

• CCN 195580 Skilled nursing facility · Active · Details

Skilled nursing facility certification: CCN 195580

Legal name

AVOYELLES MANOR INC

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Apr 25, 2003

Last certification

Apr 25, 2024

Beds

104

Ownership / control type

Corporation

Organization structure

CorporationProprietary

Incorporated

Dec 27, 1978 in LA

Enrollment address

5682 Highway 107 S
Avoyelles Manor, Inc
Dupont, LA 71329-5001

Nursing home name

AVOYELLES MANOR NURSING HOME

Listed as

Avoyelles Manor Nursing HomeCCN 195580 · All quality measures

Overall star rating

4 of 5

Health inspections

5 of 5

Staffing

1 of 5

Quality measures

3 of 5

Type

Medicare and Medicaid

Ownership

For profit - Corporation

Certified

Apr 25, 2003

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

10453.5 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

Locations

All disclosed owners & managing parties 3

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

Practitioners 2

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.

• Mohammed Sadat Aziz, D.O

  • Internal Medicine Physician
  • Alexandria, LA
  • NPI 1083912828
  NPD (past)
• Warren John Plauche, MD

  • Family Medicine Physician
  • Mansura, LA
  • NPI 1528195765
  NPD (past)

Affiliated clinicians 1

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

• Warren John Plauche, MD

  • Family Medicine Physician
  • Mansura, LA
  • NPI 1528195765

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1300233600000",
    "number": "1912922147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5682 HIGHWAY 107",
            "city": "DUPONT",
            "state": "LA",
            "postal_code": "71329",
            "telephone_number": "318-922-3404",
            "fax_number": "318-922-3680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5682 HWY 107 SOUTH",
            "city": "DUPONT",
            "state": "LA",
            "postal_code": "71329",
            "telephone_number": "318-922-3404",
            "fax_number": "318-922-3680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVOYELLES MANOR, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-12",
        "last_updated": "2011-03-16",
        "status": "A",
        "authorized_official_last_name": "PEPITON",
        "authorized_official_first_name": "PHILIP",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "318-922-3404",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "LA",
            "license": "240",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROVIDER NUMBER",
            "identifier": "190031190Z",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1514951",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2011; 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.