Maison de'Ville Nursing Home of Harvey, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

699 Issued in LA

Legal business name

MAISON DE'VILLE NURSING HOME OF HARVEY, LLC

Practice address

2233 8TH St
Harvey, LA 70058-4005

Phone

(504) 362-9522

Fax

(504) 368-4118

NPI assigned

Jan 17, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Bob G. Dean Jr.

Title

Managing Member

Phone

(225) 343-9152

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1168992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1003968470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2233 8TH ST",
            "city": "HARVEY",
            "state": "LA",
            "postal_code": "700584005",
            "telephone_number": "504-362-9522",
            "fax_number": "504-368-4118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2233 8TH ST",
            "city": "HARVEY",
            "state": "LA",
            "postal_code": "700584005",
            "telephone_number": "504-362-9522",
            "fax_number": "504-368-4118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAISON DE'VILLE NURSING HOME OF HARVEY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DEAN",
        "authorized_official_first_name": "BOB",
        "authorized_official_middle_name": "G.",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "225-343-9152",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "LA",
            "license": "699",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "52069",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Skilled Nursing Facility in Harvey, LA
• Providers in Harvey, LA by specialty
• Skilled Nursing Facility in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.