NPIMap

Organization Active NPI

Lady of the Oaks Retirement Manor, LLC

Doing business as Lafayette Care Center

  • Skilled Nursing Facility
  • Lafayette, LA
National Provider Identifier
1114342953
Registry record updated Mar 4, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
819 Issued in LA
Legal business name
LADY OF THE OAKS RETIREMENT MANOR, LLC
Doing business as
Lafayette Care Center
Practice address
325 Bacque Crescent Dr
Lafayette, LA 70503-2842
Phone
(337) 232-0299
Fax
(225) 667-2843
NPI assigned
Mar 4, 2014
Last updated
Mar 4, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2014

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

Authorized official

Name
Kimberly W. Delatte, CPA
Title
Comptroller
Phone
(225) 664-6697

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 819 LA Primary

Addresses

Primary practice location

325 Bacque Crescent Dr
Lafayette, LA 70503-2842

Mailing address

301 Veterans Blvd
Denham Springs, LA 70726-4722
Phone (225) 664-6697

Other identifiers 1

IdentifierTypeStateIssuer
1510254MedicaidLA

Other names 1

  • LAFAYETTE CARE CENTER Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Lady of the Oaks Retirement Manor2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

325 Bacque Crescent Dr
Lafayette, LA 70503
Phone (337) 207-0528

NPI Registry JSON

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

{
    "created_epoch": "1393891200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1393891200000",
    "number": "1114342953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 VETERANS BLVD",
            "city": "DENHAM SPRINGS",
            "state": "LA",
            "postal_code": "707264722",
            "telephone_number": "225-664-6697",
            "fax_number": "225-667-2843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 BACQUE CRESCENT DR",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705032842",
            "telephone_number": "337-232-0299",
            "fax_number": "225-667-2843"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LADY OF THE OAKS RETIREMENT MANOR, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-04",
        "last_updated": "2014-03-04",
        "status": "A",
        "authorized_official_last_name": "DELATTE",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "W.",
        "authorized_official_title_or_position": "COMPTROLLER",
        "authorized_official_telephone_number": "225-664-6697",
        "authorized_official_credential": "CPA"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "LA",
            "license": "819",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1510254",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LAFAYETTE CARE CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lafayette, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2014; 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.