Landry Road Investment LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

906 Issued in LA

Legal business name

LANDRY ROAD INVESTMENT LLC

Doing business as

LADY OF THE OAKS RETIREMENT MANOR

Practice address

1005 Eraste Landry Rd
Lafayette, LA 70506-3054

Phone

(337) 232-6370

Fax

(337) 266-2071

NPI assigned

Feb 20, 2006

Organization subpart

No

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

Authorized official

Name

Mr. John E Jumonville

Title

Owner

Phone

(337) 232-6370

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• LADY OF THE OAKS RETIREMENT MANOR Doing business as

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

{
    "created_epoch": "1140393600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1296432000000",
    "number": "1063487528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1005 ERASTE LANDRY RD",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705063054",
            "telephone_number": "337-232-6370",
            "fax_number": "337-266-2071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1005 ERASTE LANDRY RD",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705063054",
            "telephone_number": "337-232-6370",
            "fax_number": "337-266-2071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LANDRY ROAD INVESTMENT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-20",
        "last_updated": "2011-01-31",
        "status": "A",
        "authorized_official_last_name": "JUMONVILLE",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "337-232-6370",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "LA",
            "license": "906",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1522112",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2133748",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LADY OF THE OAKS RETIREMENT MANOR",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Meshaun L Landor
• Elizabeth Landreneau, DPT
• Ellen Rita Landreneau, CNS, APRN
• Lindsey Landreneau, FNP-C
• Nedwin Paul Landreneau Jr., M.D.
• Adrienne Landry
• Aimee L Landry, DPT
• Alyssa Landry, MOT
• Amanda Pete Landry
• Amy Leblanc Landry, N.P

• Skilled Nursing Facility in Lafayette, LA
• Providers in Lafayette, 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 Jan 31, 2011; 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.