HERITAGE MANOR SOUTH
NPI 1083662944
Skilled Nursing Facility in Shreveport, LA

Active since May 04, 2006CLIA 19D0463974 · Waiver
3/5
Overall Rating
9712 MANSFIELD RD, SHREVEPORT, LA 71118(318) 687-2080(318) 688-8103 Get Directions Write a Review

NPPES record last updated: November 30, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 3, 2019, Sep 13, 2018, Jul 29, 2018 (3 updates tracked since 2018).

About Heritage Manor South NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HERITAGE MANOR SOUTH (NPI 1083662944) is a healthcare organization registered as a skilled nursing facility in Shreveport, Louisiana and active in the NPI registry since May 2006. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Toni Parkinson, Authorized Representative, as its authorized official.

NPPES Registry Identity

NPI1083662944
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameCOMMUNITY CARE CENTER OF SHREVEPORT SOUTH LLC
Location Address9712 MANSFIELD RDShreveport, LA 71118-4406
Mailing Address9712 Mansfield RdShreveport, LA 71118-4498 · (318) 687-2080 · Fax (318) 688-8103
Fax(318) 688-8103
Organization SubpartNo
Authorized OfficialToni ParkinsonAuthorized Representative · (601) 709-1408
Enumeration DateMay 4, 2006
Last NPPES UpdateNovember 30, 20243 updates tracked since enumeration
NPPES CertifiedNovember 30, 2024
NPI 1083662944 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
License Licensed in LA · 784
Definition
(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.
9712 MANSFIELD RD, Shreveport, LA 71118

Other Names 1

Doing Business AsHeritage Manor South

Other Identifiers 2

Medicaid1521434LA
Other31054LA · Blue Cross Blue Shield

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 19D0463974

Heritage Manor South · Shreveport, LA
Active · expires Aug 31, 2026
CLIA Number19D0463974
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorCindy St Amant
Laboratory Phone(318) 687-2080
Laboratory LocationHeritage Manor South9712 Mansfield Rd, Shreveport, LA 71118
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Nursing Home Quality Ratings CMS Care Compare

Quality ratings, staffing and inspection history for Heritage Manor South (CMS certification number 195408), from CMS Care Compare.

Heritage Manor South

Nursing home · Shreveport, LA
3/5 CMS Overall Rating
OwnershipFor profit - Limited Liability company
CMS Certification Number195408
Certified Beds145 beds100 residents per day on average
Medicare & Medicaid Participant SinceApril 1, 1997
Resident & Family CouncilResident council
Automatic sprinkler system

CMS Star Ratings

Quality Measures
Based on a select set of clinical quality measures.
2/5
Long-Stay Quality
Quality of care delivered to long-term residents.
2/5
Short-Stay Quality
Quality of care delivered to short-term and rehabilitation residents.
2/5
Staffing
Based on nursing staff hours relative to resident needs.
3/5
Weighted Health Inspection Score
Lower scores are better; the score summarizes deficiencies found on recent inspections.
28
Ratings are assigned by CMS on a one-to-five star scale; five is the highest. Categories without a current CMS rating are not shown.

Staffing & Turnover

Total Nurse Staffing
nurse aide 2.71 · LPN 1.21 · RN 0.24
4.16 hrs per resident per day
Weekend Nurse Staffing
3.26 hrs per resident per day
Physical Therapist Staffing
0.05 hrs per resident per day
Nursing Staff Turnover
Share of nursing staff who left the facility within the past year.
55.9%
Registered Nurse Turnover
60%
Administrators Who Have Left
In the past year.
0
Higher staffing hours generally allow more direct care time per resident.

Inspections & Enforcement

Facility-Reported Incidents
0
Substantiated Complaints
0
Fines
0
Medicare Payment Denials
0
Total Penalties
0
Counts come from CMS inspections and complaint investigations over approximately the past three years. CMS Care Compare data as of October 1, 2024.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Community Care Center Of Shreveport South LLC's NPI number?

The NPI number for Community Care Center Of Shreveport South LLC is 1083662944. It was assigned to this organization in the NPPES registry on May 4, 2006. The provider is doing business as Heritage Manor South.

Where is Community Care Center Of Shreveport South LLC located?

Community Care Center Of Shreveport South LLC is located at 9712 Mansfield Rd, Shreveport, LA 71118. The listed phone number is (318) 687-2080.

What is Community Care Center Of Shreveport South LLC's specialty?

The primary specialty registered for this NPI is Skilled Nursing Facility with taxonomy code 314000000X.

Does Community Care Center Of Shreveport South LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 19D0463974) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is Community Care Center Of Shreveport South LLC a Medicare-certified nursing home?

Yes. Heritage Manor South is a Medicare-certified nursing home with 145 certified beds.

What quality rating does Community Care Center Of Shreveport South LLC have?

CMS rates Heritage Manor South 3 out of 5 stars overall on Care Compare. The full measure detail is in the Nursing Home Quality Ratings section above.

What insurance does Community Care Center Of Shreveport South LLC accept?

Health plans from AmeriHealth Caritas Next, Blue Cross and Blue Shield of Louisiana and HMO Louisiana list Community Care Center Of Shreveport South LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Community Care Center Of Shreveport South LLC was last updated on November 30, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.