Lake Charles Care Center

LBN: Diversified Health Care-Lake Charles, Llc
Lake Charles Care Center is an health care organization with primary practice located at 2701 Ernest St , Lake Charles LA 70601-8406. 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. Diversified Health Care-Lake Charles, Llc can be contacted via phone (337) 439-0336, or through Groce, Tammie H via phone (337) 439-0336.

Contact Information

Primary practice address
2701 Ernest St Lake Charles LA 70601-8406
Phone: (337) 439-0336
Fax: (337) 494-0546
Website:
Map and Directions
Authorized official contact:
Name: Groce, Tammie H
Phone: (337) 439-0336

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 799 Louisiana

Profile Details

NPI number 1598766941
LBN Legal business name Diversified Health Care-Lake Charles, Llc
DBA Doing business as Lake Charles Care Center
Authorized official Groce, Tammie H
Entity Organization
Organization subpart 1 No
Enumeration date Aug 9th, 2005
Last updated Jan 26th, 2010 - about 14 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 1598766941 NPPES
Louisiana MEDICAID 1510114

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