Colonial Oaks Living Center

LBN: Colonial Living Center, Llc
Colonial Oaks Living Center is an health care organization with primary practice located at 4312 Ithaca St , Metairie LA 70006-2913. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Skilled Nursing Facility, which is considered as the primary health care specialty. Colonial Living Center, Llc can be contacted via phone (504) 887-6414, or through Hargrave, David via phone (504) 887-6414.

Contact Information

Primary practice address
4312 Ithaca St Metairie LA 70006-2913
Phone: (504) 887-6414
Fax: (504) 887-5812
Website:
Map and Directions
Authorized official contact:
Name: Hargrave, David
Phone: (504) 887-6414

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 779 Louisiana

Profile Details

NPI number 1720085723
LBN Legal business name Colonial Living Center, Llc
DBA Doing business as Colonial Oaks Living Center
Authorized official Hargrave, David
Entity Organization
Organization subpart 1 No
Enumeration date Jul 5th, 2005
Last updated Feb 16th, 2012 - about 12 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1720085723 NPPES
Louisiana Other 4704660001 ENTERAL
Louisiana MEDICAID 1521400 ENTERAL

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