Princeton Place - Ruston, LP

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

931 Issued in LA

Legal business name

PRINCETON PLACE - RUSTON, LP

Doing business as

Princeton Place - Ruston

Practice address

1405 White St
Ruston, LA 71270-7213

Phone

(318) 812-2140

Fax

(318) 812-2143

NPI assigned

Jun 10, 2006

Last updated

Feb 14, 2014By 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

Dawne R Smith

Title

Ceo

Phone

(318) 812-2140

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Princeton Place - Ruston Doing business as

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1992746770. Details of each certification follow.

• CCN 195520 Skilled nursing facility · Active · Details

Skilled nursing facility certification: CCN 195520

Legal name

PRINCETON PLACE - RUSTON, LP

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Jul 1, 2001

Last certification

Aug 28, 2024

Beds

123

Ownership / control type

Partnership

Organization structure

PartnershipProprietary

Enrollment address

1405 White Street
Ruston, LA 71270-7213

Nursing home name

PRINCETON PLACE-RUSTON

Affiliated entity

PARAMOUNT HEALTHCARE CONSULTANTS

Listed as

Princeton Place-RustonCCN 195520 · All quality measures

Overall star rating

4 of 5

Health inspections

4 of 5

Staffing

2 of 5

Quality measures

2 of 5

Type

Medicare and Medicaid

Ownership

For profit - Partnership

Certified

Jul 1, 2001

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

12370.5 residents per day on average

Chain

Paramount Healthcare Consultants14 facilities in the chain

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

All disclosed owners & managing parties 8

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

Owners & managing parties with NPI records 1

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

• Michael Shane Phillips, M.D.

  • Family Medicine Physician
  • Ruston, LA
  • NPI 1154391431

  Adp of the SNF, Operational/Managerial Control

  CMS ownership

Facilities with the same owner 1

Facilities that share an organizational owner with 5% or greater ownership or operational control.

• Paramount Healthcare Consultants -New Iberia LLC

  dba Consolata Rehab and Wellness Center on the Teche

  • Skilled Nursing Facility
  • New Iberia, LA
  • NPI 1417689266

  DCZ Healthcare Investments, LLC

  CMS 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.

• Michael Shane Phillips, M.D.

  • Family Medicine Physician
  • Ruston, LA
  • NPI 1154391431
  NPD (past)
• Dan Thompson, MD

  • Family Medicine Physician
  • Bernice, LA
  • NPI 1205047610
  NPD (past)

Affiliated clinicians 3

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

• Michael Shane Phillips, M.D.

  • Family Medicine Physician
  • Ruston, LA
  • NPI 1154391431

  Nursing home

  Care Compare affiliation
• William P Sanders, MD

  • Family Medicine Physician
  • Ruston, LA
  • NPI 1093921066

  Nursing home

  Care Compare affiliation
• Dan Thompson, MD

  • Family Medicine Physician
  • Bernice, LA
  • NPI 1205047610

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1149897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1392336000000",
    "number": "1992746770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1405 WHITE ST",
            "city": "RUSTON",
            "state": "LA",
            "postal_code": "712707213",
            "telephone_number": "318-812-2140",
            "fax_number": "318-812-2143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1405 WHITE ST",
            "city": "RUSTON",
            "state": "LA",
            "postal_code": "712707213",
            "telephone_number": "318-812-2140",
            "fax_number": "318-812-2143"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRINCETON PLACE - RUSTON, LP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-10",
        "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": "931",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE DMERC #",
            "identifier": "5887450001",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1520233",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Princeton Place - Ruston",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Taylor Price
• Tyler Price
• Tyra Rene Price
• Prime Care Network of Monroe, LLC (Elar Caring)
• Samantha Taylor Primm, PA-C
• Larry D. Proctor
• Professional Hospice Care, L.L.C. (Allegiance Hospice Care of Northeast Louisiana)
• Jacques Prudhomme
• Lydia Prudhomme
• Rhonda Renee Pruitt, DMD

• Skilled Nursing Facility in Ruston, LA
• Providers in Ruston, LA by specialty
• Skilled Nursing Facility in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2014; 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.