Ponchatoula Nursing Home, Llc

LBN: Ponchatoula Nursing Home, Llc
Ponchatoula Nursing Home, Llc is an health care organization with primary practice located at 15704 Medical Arts Dr , Hammond LA 70403-1446. The organization recently has only one registered license in Suppliers / Durable Medical Equipment & Medical Supplies, which is considered as the primary health care specialty. Ponchatoula Nursing Home, Llc can be contacted via phone (985) 542-0110, or through Guitreau, Paul via phone (985) 542-0110.

Contact Information

Primary practice address
15704 Medical Arts Dr Hammond LA 70403-1446
Phone: (985) 542-0110
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Guitreau, Paul
Phone: (985) 542-0110

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X

Profile Details

NPI number 1003030800
LBN Legal business name Ponchatoula Nursing Home, Llc
DBA Doing business as
Authorized official Guitreau, Paul
Entity Organization
Organization subpart 1 No
Enumeration date Apr 12th, 2007
Last updated Aug 22nd, 2020 - about 4 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 1003030800 NPPES
Louisiana MEDICAID 1163163
Louisiana Other 34086

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