Maison Teche, LLC | NPI 1922051796

Key facts

NPI: 1922051796
Entity type: Organization (NPI type 2)
Primary specialty: Nursing Facility/Intermediate Care Facility 313M00000X
License: 464 (LA)
Legal business name: MAISON TECHE, LLC
Practice address: 7307 E Old Spanish TRL
Jeanerette, LA 70544-6100
Phone: (337) 276-4514
Fax: (318) 473-4360
NPI assigned: May 19, 2006
Organization subpart: No

Authorized official

Name: Brenda Tarver
Title: Manager
Phone: (318) 445-4346

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Robert F Hankenhof III, M.D. Family Medicine Physician · New Iberia, LA · NPI 1558585430

NPD (past)

Affiliated clinicians 1

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

Robert F Hankenhof III, M.D. Family Medicine Physician · New Iberia, LA · NPI 1558585430

Care Compare affiliation Nursing home

Medicare Care Compare: Nursing home

Listed as: Maison Teche Nursing Center CCN 195574
Overall star rating: ★☆☆☆☆ 1 of 5
Health inspections: ★★★☆☆ 3 of 5
Staffing: ★☆☆☆☆ 1 of 5
Quality measures: ★☆☆☆☆ 1 of 5
Type: Medicare and Medicaid
Ownership: For profit - Limited Liability company
Certified: Mar 18, 2003
Medicare certification status: Active (Provider of Services file)
Certified beds: 121 · 88.8 residents per day on average

Source: Medicare Care Compare, processed Aug 1, 2026.

Laboratory certificates & supplier records

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

CLIA laboratory certificates

CLIA number	Laboratory	Certificate	Expires
19D0897455	Maison Teche Nursing Center 7307 Old Spanish Trail, Jeanerette, LA 70544	Certificate of waiver	Feb 5, 2027

Medicare participation

Medicare fee-for-service enrollment: Enrolled in LA

Skilled nursing facility certification: CCN 195574

Legal name: MAISON TECHE, LLC
Doing business as: MAISON TECHE NURSING CENTER
Certification status: Active
Provider type (POS): Nursing home – SNF/NF dual certification
Participating since: Mar 18, 2003
Last certification: Dec 4, 2024
Beds: 121
Ownership / control type: Limited Liability Corporation
Organization structure: Corporation · Proprietary
Incorporated: Oct 1, 1990 in LA
Enrollment address: 7307 E Old Spanish TRL
Jeanerette, LA 70544-6100
Nursing home name: MAISON TECHE NURSING CENTER

All disclosed owners & managing parties 6

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

Name	Role	Since	Share
Individual	Adp of the SNF	Jul 14, 2025
Organization · Lake Charles, LA LLC	Adp of the SNF	Jul 14, 2025
William Hodges Individual	5% Or Greater Direct Ownership Interest	Oct 1, 1990	50%
	Corporate Officer Managing Member	Oct 1, 1990	100%
	Operational/Managerial Control Managing Member	Oct 1, 1990	100%
	Adp of the SNF	Oct 1, 1990
Iris Hodges Individual	5% Or Greater Direct Ownership Interest	Oct 1, 1990	50%
Iris Hodges Individual	Adp of the SNF	Oct 1, 1990
Hayley Boutte Individual	Adp of the SNF	Jul 14, 2025
Individual	Adp of the SNF	Jun 1, 2014

Medicare enrollment records

Enrollment ID	State	Provider type	PAC ID	Details
O20040729000304	LA	Part a Provider - Skilled Nursing Facility	8123098951	Practice locations: Jeanerette, LA

National Provider Directory

Locations

2230 S MacArthur Dr
Alexandria, LA 71301
Phone (318) 443-4000

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Nursing Facility/Intermediate Care Facility	313M00000X	464	LA	Yes

Addresses

Primary practice location

7307 E Old Spanish TRL
Jeanerette, LA 70544-6100

Mailing address

2230 S Macarthur Dr
Alexandria, LA 71301-3057
Phone (318) 445-4346

Other identifiers

Identifier	Type	State	Issuer
1518395	Medicaid	LA

Other providers in Jeanerette, LA

All providers in Jeanerette, LA · Nursing Facility/Intermediate Care Facility in Louisiana

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 20, 2008. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
Provider of Services files (CMS): certification status, beds and related CCNs.
Medicare Care Compare provider data (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.