DERIDDER RETIREMENT & REHABILITATION CENTER
NPI 1457335812
Skilled Nursing Facility in Deridder, LA

Active since November 30, 2005CLIA 19D0672100 · Waiver
1/5
Overall Rating
1420 BLANKENSHIP DR, DERIDDER, LA 70634(337) 463-9022(337) 462-0719 Get Directions Write a Review

NPPES record last updated: August 23, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Deridder Retirement & Rehabilitation Center NPPES

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

DERIDDER RETIREMENT & REHABILITATION CENTER (NPI 1457335812) is a healthcare organization registered as a skilled nursing facility in Deridder, Louisiana and active in the NPI registry since November 2005. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Jack Sanders, Managing Member, as its authorized official.

NPPES Registry Identity

NPI1457335812
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameDERIDDER RETIREMENT & REHABILITATION CENTER, LLC
Location Address1420 BLANKENSHIP DRDeridder, LA 70634-4604
Mailing Address1420 Blankenship DrDeridder, LA 70634-4604 · (337) 463-9022 · Fax (337) 462-0719
Fax(337) 462-0719
Organization SubpartNo
Authorized OfficialJack SandersManaging Member · (318) 590-0007
Enumeration DateNovember 30, 2005
Last NPPES UpdateAugust 23, 2007
NPI 1457335812 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 · 885
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.

1420 BLANKENSHIP DR, Deridder, LA 70634

Other Names 1

Doing Business AsDeridder Retirement & Rehabilitation Center

Other Identifiers 2

Medicare ID-Type Unspecified195535LA · Provider Number
Medicaid1510882LA

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 19D0672100

Deridder Retirement & Rehabilitation Center Deridder Retirement & Rehabilitation Center LLC · Deridder, LA
Active · expires Aug 31, 2026
CLIA Number19D0672100
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorJack H. Sanders
Laboratory Phone(337) 463-9022
Laboratory LocationDeridder Retirement & Rehabilitation Center Deridder Retirement & Rehabilitation Center LLC1420 Blankenship Drive, Deridder, LA 70634
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 Deridder Retirement & Rehabilitation Center (CMS certification number 195535), from CMS Care Compare.

Deridder Retirement & Rehabilitation Center

Nursing home · Deridder, LA
1/5 CMS Overall Rating
OwnershipFor profit - Corporation
CMS Certification Number195535
Certified Beds90 beds63 residents per day on average
Medicare & Medicaid Participant SinceJanuary 16, 2002
Resident & Family CouncilResident council
Automatic sprinkler system

CMS Star Ratings

Quality Measures
Based on a select set of clinical quality measures.
1/5
Long-Stay Quality
Quality of care delivered to long-term residents.
1/5
Staffing
Based on nursing staff hours relative to resident needs.
1/5
Weighted Health Inspection Score
Lower scores are better; the score summarizes deficiencies found on recent inspections.
39.33
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 2.1 · LPN 1.18 · RN 0.16
3.44 hrs per resident per day
Weekend Nurse Staffing
3.08 hrs per resident per day
Physical Therapist Staffing
0.02 hrs per resident per day
Nursing Staff Turnover
Share of nursing staff who left the facility within the past year.
58.1%
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
1
Substantiated Complaints
1
Infection-Control Citations
0
Fines
1 totaling $13,383.50
Medicare Payment Denials
0
Total Penalties
1
Counts come from CMS inspections and complaint investigations over approximately the past three years. CMS Care Compare data as of October 1, 2024.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Family)
1420 BLANKENSHIP DR
DERIDDER, LA 70634

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 Deridder Retirement & Rehabilitation Center, LLC's NPI number?

The NPI number for Deridder Retirement & Rehabilitation Center, LLC is 1457335812. It was assigned to this organization in the NPPES registry on November 30, 2005. The provider is doing business as Deridder Retirement & Rehabilitation Center.

Where is Deridder Retirement & Rehabilitation Center, LLC located?

Deridder Retirement & Rehabilitation Center, LLC is located at 1420 Blankenship Dr, Deridder, LA 70634. The listed phone number is (337) 463-9022.

What is Deridder Retirement & Rehabilitation Center, LLC's specialty?

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

Does Deridder Retirement & Rehabilitation Center, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 19D0672100) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is Deridder Retirement & Rehabilitation Center, LLC a Medicare-certified nursing home?

Yes. Deridder Retirement & Rehabilitation Center is a Medicare-certified nursing home with 90 certified beds.

What quality rating does Deridder Retirement & Rehabilitation Center, LLC have?

CMS rates Deridder Retirement & Rehabilitation Center 1 out of 5 stars overall on Care Compare. The full measure detail is in the Nursing Home Quality Ratings section above.

What insurance does Deridder Retirement & Rehabilitation Center, LLC accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health, Ambetter from Superior HealthPlan and Blue Cross and Blue Shield of Louisiana and 1 other insurer list Deridder Retirement & Rehabilitation Center, 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 Deridder Retirement & Rehabilitation Center, LLC was last updated on August 23, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.