Organization Active NPI

Plantation Management Corporation

  • Skilled Nursing Facility
  • Monroe, LA
National Provider Identifier
1154368249
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
58 Issued in LA
Legal business name
PLANTATION MANAGEMENT CORPORATION
Practice address
3001 S Grand St
Monroe, LA 71202-4152
Phone
(318) 388-3200
Fax
(318) 388-2909
NPI assigned
May 31, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Kim Delatte
Title
Comptroller
Phone
(225) 664-6697

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 58 LA Primary

Addresses

Primary practice location

3001 S Grand St
Monroe, LA 71202-4152

Mailing address

3001 S Grand St
Monroe, LA 71202-4152
Phone (318) 388-3200

Other identifiers 1

IdentifierTypeStateIssuer
1517810MedicaidLA

Other names 1

  • RIVERSIDE NURSING HOME Doing business as

National Provider Directory

National Provider Directory

Locations

3001 S Grand St
Monroe, LA 71202
Phone (318) 322-3100

NPI Registry JSON

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

{
    "created_epoch": "1149033600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1154368249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3001 S GRAND ST",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712024152",
            "telephone_number": "318-388-3200",
            "fax_number": "318-388-2909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3001 S GRAND ST",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712024152",
            "telephone_number": "318-388-3200",
            "fax_number": "318-388-2909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLANTATION MANAGEMENT CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-31",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DELATTE",
        "authorized_official_first_name": "KIM",
        "authorized_official_title_or_position": "COMPTROLLER",
        "authorized_official_telephone_number": "225-664-6697"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "LA",
            "license": "58",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1517810",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "RIVERSIDE NURSING HOME",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Monroe, LA

Sources for this page

  • 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.