LLC-II, LLC

Primary specialty

Long Term Care HospitalTaxonomy code 282E00000X

Legal business name

LLC-II, LLC

Doing business as

St. Landry Extended Care Hospital

Practice address

539 E Prudhomme St FL 6
Opelousas, LA 70570-6499

Phone

(337) 948-5184

Fax

(337) 948-3294

NPI assigned

Sep 20, 2006

Last updated

Nov 10, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Nicholas Gachassin III

Title

Executive Vice President

Phone

(337) 233-1307

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• St. Landry Extended Care Hospital Doing business as

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1636502400000",
    "number": "1033217484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 51266",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705051266",
            "telephone_number": "337-233-1307",
            "fax_number": "337-233-5764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "539 E PRUDHOMME ST FL 6",
            "city": "OPELOUSAS",
            "state": "LA",
            "postal_code": "705706499",
            "telephone_number": "337-948-5184",
            "fax_number": "337-948-3294"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LLC-II, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2021-11-10",
        "certification_date": "2021-11-10",
        "status": "A",
        "authorized_official_last_name": "GACHASSIN",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_title_or_position": "EXECUTIVE VICE PRESIDENT",
        "authorized_official_telephone_number": "337-233-1307",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "III"
    },
    "taxonomies": [
        {
            "code": "282E00000X",
            "taxonomy_group": "",
            "desc": "Long Term Care Hospital",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD OF",
            "identifier": "190061429Z",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1700461",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "St. Landry Extended Care Hospital",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "St. Landry Extended Care Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Long Term Care Hospital in Opelousas, LA
• Providers in Opelousas, LA by specialty
• Long Term Care Hospital in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.