Organization Active NPI

Leslie Lakes Care Center, LLC

  • Skilled Nursing Facility
  • Arcadia, LA
National Provider Identifier
1962411355
Registry record updated Feb 14, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
859 Issued in LA
Legal business name
LESLIE LAKES CARE CENTER, LLC
Practice address
1355 6TH St
Arcadia, LA 71001-3109
Phone
(318) 263-9581
NPI assigned
Aug 5, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2014

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

Authorized official

Name
Dawne R Smith
Title
Ceo
Phone
(318) 812-2140

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 859 LA Primary
Nursing Facility Supplies (DME) 332BN1400X
Parenteral & Enteral Nutrition Supplies (DME) 332BP3500X

Addresses

Primary practice location

1355 6TH St
Arcadia, LA 71001-3109

Mailing address

1355 6TH St
Arcadia, LA 71001-3109
Phone (318) 263-9581

Other identifiers 1

IdentifierTypeStateIssuer
1510653MedicaidLA

Other names 1

  • Leslie Lakes Retirement Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040129000042 LA Part A Provider - Skilled Nursing Facility 9830092758 Practice locations: Arcadia, LA

Skilled nursing facility certification: CCN 195572

Legal name
LESLIE LAKES CARE CENTER, LLC
Doing business as
LESLIE LAKES RETIREMENT CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF distinct part
Participating since
Feb 14, 2003
Last certification
Dec 11, 2024
Beds
150
Ownership / control type
Limited Liability Corporation
Multi-facility organization
Paramount Healthcare
Organization structure
PartnershipProprietary
Enrollment address
1355 6TH St
Arcadia, LA 71001-3109
Nursing home name
LESLIE LAKES RETIREMENT CENTER
Affiliated entity
PARAMOUNT HEALTHCARE CONSULTANTS

Care Compare: Nursing home

Medicare Care Compare
Listed as
Leslie Lakes Retirement CenterCCN 195572
Overall star rating
4 of 5
Health inspections
4 of 5
Staffing
2 of 5
Quality measures
3 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Feb 14, 2003
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
15089.6 residents per day on average
Chain
Paramount Healthcare Consultants14 facilities in the chain
Penalties (3 years)
2Fines totaling $59,670

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory

Locations

1355 6th St
Arcadia, LA 71001
Phone (318) 263-9581

1905 N 7th St
West Monroe, LA 71291
Phone (318) 812-2140

Ownership & related parties

All disclosed owners & managing parties 11

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

NameRoleSinceShare
DCZ Healthcare Investments, LLC Organization, Monroe, LA LLC, Owned by another organization or individual Direct Ownership Interest Jan 1, 2008 24%
Leslie Lakes Property, LLC Organization, West Monroe, LA LLC, Owned by another organization or individual 5% Or Greater Mortgage Interest Jan 1, 2008 100%
Adp of the SNF Jan 1, 2008
Stephen Duck, Cpa PC Organization, Longview, TX Corporation Adp of the SNF Jan 1, 2018
Paramount Healthcare Consultants, LLC Organization, West Monroe, LA Management services company Adp of the SNF Jan 1, 2008
DCZ1 Ventures LLC Organization, West Monroe, LA LLC Adp of the SNF Jan 1, 2008
David Colvin Individual Operational/Managerial Control May 9, 2017
Adp of the SNF May 9, 2017
Kelly Coburn Individual Adp of the SNF Jan 1, 2008
Indirect Ownership Interest Jan 1, 2008 50%
PKC Investments, LLC Organization, Monroe, LA LLC Adp of the SNF Jan 1, 2008
Direct Ownership Interest Jan 1, 2008 73%
Dawne R Smith Individual Corporate OfficerOfficer/Manager Jan 1, 2008
Adp of the SNF Jan 1, 2008
Indirect Ownership Interest Jan 1, 2008 100%
Angela Smith Individual Operational/Managerial Control Jun 13, 2024
Adp of the SNF Jun 13, 2024
Paul B Coburn Individual Adp of the SNF Jan 1, 2008
Indirect Ownership Interest Jan 1, 2008 50%

Owners & managing parties with NPI records 1

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

Practitioners & affiliated clinicians

Practitioners 6

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

Affiliated clinicians 1

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": "1154736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1392336000000",
    "number": "1962411355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1355 6TH ST",
            "city": "ARCADIA",
            "state": "LA",
            "postal_code": "710013109",
            "telephone_number": "318-263-9581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1355 6TH ST",
            "city": "ARCADIA",
            "state": "LA",
            "postal_code": "710013109",
            "telephone_number": "318-263-9581"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LESLIE LAKES CARE CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-05",
        "last_updated": "2014-02-14",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "DAWNE",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "318-812-2140"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "LA",
            "license": "859",
            "primary": true
        },
        {
            "code": "332BN1400X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Nursing Facility Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1510653",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Leslie Lakes Retirement Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Arcadia, LA

Sources for this page

Verify at the official NPI Registry.