MARY GOSS NURSING HOME, INC
NPI 1609861780
Skilled Nursing Facility in Monroe, LA

Active since September 15, 2005CLIA 19D0993699 · Waiver
1/5
Overall Rating
3300 WHITE ST, MONROE, LA 71203(318) 323-9013(318) 324-1350 Get Directions Write a Review

NPPES record last updated: December 28, 2009. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mary Goss Nursing Home, Inc NPPES

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

MARY GOSS NURSING HOME, INC (NPI 1609861780) is a healthcare organization registered as a skilled nursing facility in Monroe, Louisiana and active in the NPI registry since September 2005. The organization holds a CLIA Waiver certificate valid through November 20, 2027 and lists Eddye Louise Davis, Nursing Facility Administrator, as its authorized official.

NPPES Registry Identity

NPI1609861780
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameMARY GOSS NURSING HOME, INC
Location Address3300 WHITE STMonroe, LA 71203-5153
Mailing AddressPo Box 4509Monroe, LA 71211-4509 · (318) 323-9013 · Fax (318) 324-1350
Fax(318) 324-1350
Organization SubpartNo
Authorized OfficialEddye Louise DavisNursing Facility Administrator · (318) 323-9013
Enumeration DateSeptember 15, 2005
Last NPPES UpdateDecember 28, 2009
NPI 1609861780 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 · 41
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.

3300 WHITE ST, Monroe, LA 71203

Other Identifiers 3

Medicare ID-Type Unspecified195596LA
Medicare NSC0992010001LA
Medicaid1510327LA

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 19D0993699

Mary Goss Nursing Home · Monroe, LA
Active · expires Nov 20, 2027
CLIA Number19D0993699
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateNovember 21, 2025
Certificate Expiration DateNovember 20, 2027
Laboratory DirectorEddye L. Davis
Laboratory Phone(318) 323-9013
Laboratory LocationMary Goss Nursing Home3300 White Street, Monroe, LA 71203
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 Mary Goss Nursing Home (CMS certification number 195596), from CMS Care Compare.

Mary Goss Nursing Home

Nursing home · Monroe, LA
1/5 CMS Overall Rating
OwnershipFor profit - Corporation
CMS Certification Number195596
Certified Beds91 beds34 residents per day on average
Medicare & Medicaid Participant SinceOctober 1, 2003
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
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.
149.83
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 2.47 · LPN 1.2 · RN 0.28
3.95 hrs per resident per day
Weekend Nurse Staffing
3.13 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.
31.4%
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
3
Substantiated Complaints
0
Infection-Control Citations
0
Fines
20 totaling $149,017.13
Medicare Payment Denials
0
Total Penalties
20
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 3

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

Occupational Therapy Assistant
3300 WHITE ST
MONROE, LA 71203
Physical Therapy Assistant
3300 WHITE ST
MONROE, LA 71203
Occupational Therapy Assistant
3300 WHITE ST
MONROE, LA 71203

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 Mary Goss Nursing Home, Inc's NPI number?

The NPI number for Mary Goss Nursing Home, Inc is 1609861780. It was assigned to this organization in the NPPES registry on September 15, 2005.

Where is Mary Goss Nursing Home, Inc located?

Mary Goss Nursing Home, Inc is located at 3300 White St, Monroe, LA 71203. The listed phone number is (318) 323-9013.

What is Mary Goss Nursing Home, Inc's specialty?

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

Does Mary Goss Nursing Home, Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 19D0993699) is associated with this NPI, valid through November 20, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is Mary Goss Nursing Home, Inc a Medicare-certified nursing home?

Yes. Mary Goss Nursing Home is a Medicare-certified nursing home with 91 certified beds.

What quality rating does Mary Goss Nursing Home, Inc have?

CMS rates Mary Goss Nursing Home 1 out of 5 stars overall on Care Compare. The full measure detail is in the Nursing Home Quality Ratings section above.

When was this NPI record last updated?

The NPPES record for Mary Goss Nursing Home, Inc was last updated on December 28, 2009. NPI Profile syncs with the weekly NPPES data releases published by CMS.