Active NPI
Christwood
- Skilled Nursing Facility
- Covington, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 690
- Legal business name
- CHRISTWOOD
- Practice address
- 100 Christwood Blvd
Covington, LA 70433-4606 - Phone
- (985) 898-0515
- Fax
- (985) 898-0529
- NPI assigned
- Nov 11, 2005
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. David M Cook
- Title
- Administrator
- Phone
- (985) 898-0515
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 690 | LA | Primary |
Addresses
Primary practice location
100 Christwood Blvd
Covington, LA 70433-4606
Mailing address
100 Christwood Blvd
Covington, LA 70433-4606
Phone (985) 898-0515
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20110609000481 | LA | Part A Provider - Skilled Nursing Facility | 0840477329 | Practice locations: Covington, LA |
Skilled nursing facility certification: CCN 195381
- Legal name
- CHRISTWOOD
- Doing business as
- CHRISTWOOD HEALTH CARE CENTER
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF (Medicare) only
- Participating since
- Jul 22, 1996
- Last certification
- Dec 18, 2024
- Beds
- 30
- Ownership / control type
- Nonprofit Corporation
- Organization structure
- Corporation
- Incorporated
- Jun 26, 1991 in LA
- Enrollment address
- 100 Christwood Blvd
Covington, LA 70433-4606 - Nursing home name
- CHRISTWOOD
- Affiliated entity
- GREENBRIER SENIOR LIVING
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Christwood
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare
- Ownership
- Non profit - Corporation
- Certified
- Jul 22, 1996
- Medicare certification status
- Active
- Certified beds
- 30
- Chain
- Greenbrier Senior Living
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 19D0918795 | Christwood Health Care Center | Certificate of waiver | Aug 20, 2026 |
National Provider Directory
National Provider DirectoryOwnership & related parties
All disclosed owners & managing parties 17
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 |
|---|---|---|---|
| Paul M Bailey | Corporate Officer | Jun 21, 2016 | |
| Corporate Director | Jun 1, 2011 | ||
| William T Mason | Corporate Officer | Jun 21, 2016 | |
| Corporate Director | Jun 1, 2011 | ||
| Leon Holzhalb | W-2 Managing Employee | Jan 1, 2004 | |
| Operational/Managerial Control | Jan 1, 2004 | ||
| Steven Wheeler Scoggin | Corporate Director | Jun 1, 2011 | |
| Donna Kay Williams | Corporate Director | Jun 21, 2016 | |
| Allen J Catalanotto | Corporate Officer | Jun 21, 2016 | |
| Corporate Director | Jun 21, 2016 | ||
| Emmett Colin McComiskey | Corporate Director | Jun 21, 2016 | |
| Michelle Elizabeth Oubre | Corporate Officer | Jun 21, 2016 | |
| Corporate Director | Jun 21, 2016 | ||
| Andrea N Gee | Operational/Managerial Control | Mar 1, 2016 | |
| Paul Gregory Dennis | Corporate Director | Jun 21, 2016 | |
| Debra Pertuis | W-2 Managing Employee | Dec 1, 1999 | |
| Greenbrier Senior Living, LLC | Operational/Managerial Control | Sep 1, 2021 | |
| John W Greene | Corporate Director | Jun 21, 2016 | |
| Patrick Brian Huval | Corporate Director | Jun 22, 2016 | |
| Beverly Alice Baker Gariepy | Corporate Director | Jun 21, 2016 | |
| Thomas Trumble | Corporate Director | Mar 12, 2018 | |
| David L Duplantier | Corporate Director | Jun 21, 2016 |
Owners & managing parties with NPI records 1
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
Facilities with the same owner 1
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
- Skilled Nursing Facility
- Huntsville, AL
- NPI 1992782973
Greenbrier Senior Living, LLC
Practitioners & affiliated clinicians
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": "1131667200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1306972800000",
"number": "1992786396",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 CHRISTWOOD BLVD",
"city": "COVINGTON",
"state": "LA",
"postal_code": "704334606",
"telephone_number": "985-898-0515",
"fax_number": "985-898-0529"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 CHRISTWOOD BLVD",
"city": "COVINGTON",
"state": "LA",
"postal_code": "704334606",
"telephone_number": "985-898-0515",
"fax_number": "985-898-0529"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CHRISTWOOD",
"organizational_subpart": "NO",
"enumeration_date": "2005-11-11",
"last_updated": "2011-06-02",
"status": "A",
"authorized_official_last_name": "COOK",
"authorized_official_first_name": "DAVID",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "985-898-0515",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "LA",
"license": "690",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Covington, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 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.