CLD Inc

Organization Active NPI Skilled Nursing Facility · Coushatta, LA

NPI 1992743538 · NPPES record last updated Aug 22, 2020

Key facts

NPI
1992743538
Entity type
Organization (NPI type 2)
Primary specialty
Skilled Nursing Facility 314000000X
License
224 (LA)
Legal business name
CLD INC
Practice address
1110 Ringgold Ave
Coushatta, LA 71019-9073
Phone
(318) 932-5202
Fax
(318) 932-3034
NPI assigned
Jun 4, 2006
Organization subpart
No

Authorized official

Name
Mr. Lawrence Bingham
Title
Owner
Phone
(318) 932-5202

Corporate family (same tax ID) 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners 1

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

Affiliated clinicians 2

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

Medicare Care Compare: Nursing home

Listed as
Green Meadow Haven CCN 195562
Overall star rating
★★☆☆☆ 2 of 5
Health inspections
★★★☆☆ 3 of 5
Staffing
★☆☆☆☆ 1 of 5
Quality measures
★★☆☆☆ 2 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Oct 18, 2002
Medicare certification status
Active (Provider of Services file)
Certified beds
157 · 83.4 residents per day on average
Penalties (3 years)
2 · fines totaling $8,278

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

Medicare participation

Medicare fee-for-service enrollment
Enrolled in LA

Skilled nursing facility certification: CCN 195562

Legal name
CLD INC
Doing business as
GREEN MEADOW HAVEN
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Oct 18, 2002
Last certification
Jul 24, 2024
Beds
157
Ownership / control type
Corporation
Organization structure
Corporation · Proprietary
Enrollment address
1110 Ringgold Ave
Coushatta, LA 71019-9073
Nursing home name
GREEN MEADOW HAVEN

All disclosed owners & managing parties 10

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

NameRoleSinceShare
Carla Bingham
Individual
5% Or Greater Direct Ownership Interest Dec 29, 1998 9.16%
Corporate Director
Board Member
Dec 29, 1998
Sharon Redd
Individual
5% Or Greater Direct Ownership Interest Dec 29, 1998 11.11%
Corporate Director
Board President
Dec 29, 1998
Gabriel Reynolds
Individual
Corporate Officer
Administrator
Jan 1, 2016
Operational/Managerial Control Jan 1, 2016
Adp of the SNF Jan 1, 2016
Tammie Sistrunk
Individual
5% Or Greater Direct Ownership Interest Dec 29, 1998 16.67%
Corporate Director
Board Member
Dec 29, 1998
Donnice Reynolds
Individual
5% Or Greater Direct Ownership Interest Dec 29, 1998 16.67%
Corporate Officer
Vice President
Dec 29, 1998
Doris Dupree
Individual
5% Or Greater Direct Ownership Interest Dec 29, 1998 11.11%
Corporate Director
Board Member
Dec 29, 1998 11.11%
Pamela Lancaster
Individual
5% Or Greater Direct Ownership Interest Dec 29, 1998 10%
Corporate Director
Board Secretary
Dec 29, 1998
Valerie Bingham
Individual
5% Or Greater Direct Ownership Interest Dec 29, 1998 9.16%
Corporate Director
Board Member
Dec 29, 1998
Teresa Vidrine
Individual
5% Or Greater Direct Ownership Interest Dec 29, 1998 11.11%
Corporate Director
Board Member
Dec 29, 1998
John Lancaster
Individual
5% Or Greater Direct Ownership Interest Dec 29, 1998 5%
Corporate Director
Board Member
Dec 29, 1998 5%

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20091222000081 LA Part a Provider - Skilled Nursing Facility 4880734961 Practice locations: Coushatta, LA

National Provider Directory

Tax ID family
CLD Inc (2 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 224 LA Yes

Addresses

Primary practice location

1110 Ringgold Ave
Coushatta, LA 71019-9073

Mailing address

1110 Ringgold Ave
Coushatta, LA 71019-9073
Phone (318) 932-5202

Other identifiers

IdentifierTypeStateIssuer
52047MedicaidLA

Other names

  • GREEN MEADOW HAVEN Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Aug 22, 2020.

{
    "created_epoch": "1149379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1992743538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1110 RINGGOLD AVE",
            "city": "COUSHATTA",
            "state": "LA",
            "postal_code": "710199073",
            "telephone_number": "318-932-5202",
            "fax_number": "318-932-3034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1110 RINGGOLD AVE",
            "city": "COUSHATTA",
            "state": "LA",
            "postal_code": "710199073",
            "telephone_number": "318-932-5202",
            "fax_number": "318-932-3034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BINGHAM",
        "authorized_official_first_name": "LAWRENCE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "318-932-5202",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "LA",
            "license": "224",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "52047",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GREEN MEADOW HAVEN",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Coushatta, LA

All providers in Coushatta, LA · Skilled Nursing Facility in Louisiana

Sources for this page

Verify at the official NPI Registry.