Diversified Healthcare-New Orleans, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

796 Issued in LA

Legal business name

DIVERSIFIED HEALTHCARE-NEW ORLEANS, LLC

Doing business as

Jo Ellen Smith Convalescent Center

Practice address

4502 General Meyer Ave
New Orleans, LA 70131-3531

Phone

(504) 361-7923

NPI assigned

Feb 12, 2007

Organization subpart

Yes

Parent organization

DIVERSIFIED HEALTHCARE LLCAs reported in NPPES

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

Authorized official

Name

Mr. Brian A May

Title

Chief Executive Officer

Phone

(504) 361-7923

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Jo Ellen Smith Convalescent Center Doing business as

Locations

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

{
    "created_epoch": "1171238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1297987200000",
    "number": "1144361999",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4502 GENERAL MEYER AVE",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701313531",
            "telephone_number": "504-361-7923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4502 GENERAL MEYER AVE",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701313531",
            "telephone_number": "504-361-7923"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVERSIFIED HEALTHCARE-NEW ORLEANS, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DIVERSIFIED HEALTHCARE LLC",
        "enumeration_date": "2007-02-12",
        "last_updated": "2011-02-18",
        "status": "A",
        "authorized_official_last_name": "MAY",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "504-361-7923",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "LA",
            "license": "796",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1510041",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jo Ellen Smith Convalescent Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Nicholas Joseph Disalvo
• Theresa Lynn Dise, MD
• Lindy Disman
• Tashanne Distin, MD
• Terri L Ditta, MD
• Divine Care Hospice, LLC
• Divine Direction Medical Transportation LLC
• Divine Healing LLC
• Divine Healing LLC
• Divine Intervention Consulting

• Skilled Nursing Facility in New Orleans, LA
• Providers in New Orleans, 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 Feb 18, 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.