Pmg Opco-Shreveport LLC
NPI 1376004796 · Skilled Nursing Facility · Shreveport, LA
Enrolled with Medicare as Part a Provider - Skilled Nursing Facility · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Pmg Opco-Shreveport LLC is a Skilled Nursing Facility organization in Shreveport, LA (NPI 1376004796).
Provider details
- NPI number
- 1376004796
- Entity type
- Organization
- Primary specialty
- Skilled Nursing FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Steven Boulware, Managing Member(972) 428-0900
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Shreveport Manor Skilled Nursing and Rehabilitation
Registry dates
- Enumerated
- 2019-03-28
- Last updated
- 2019-03-28
Frequently asked questions
- What is Pmg Opco-Shreveport LLC's NPI number?
- Pmg Opco-Shreveport LLC's National Provider Identifier (NPI) is 1376004796, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Pmg Opco-Shreveport LLC?
- Pmg Opco-Shreveport LLC is classified in the NPPES registry as Skilled Nursing Facility (Nursing & Custodial Care Facilities).
- Where is Pmg Opco-Shreveport LLC located?
- Pmg Opco-Shreveport LLC's practice location on file with NPPES is 3302 Mansfield Rd, Shreveport, LA 71103-4106.
- What is Pmg Opco-Shreveport LLC's phone number?
- The practice phone number listed in the NPPES registry for Pmg Opco-Shreveport LLC is (318) 222-9482.
- Does Pmg Opco-Shreveport LLC accept Medicare?
- Pmg Opco-Shreveport LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Pmg Opco-Shreveport LLC?
- The authorized official listed on Pmg Opco-Shreveport LLC's NPPES record is Steven Boulware, Managing Member. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Pmg Opco-Shreveport LLC's NPI active?
- Yes — Pmg Opco-Shreveport LLC's NPI (1376004796) is active in the NPPES registry as of the last update on 2019-03-28.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.