Lagniappe Healthcare LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

LAGNIAPPE HEALTHCARE LLC

Doing business as

Hickory Manor Nursing and Rehabilitation Center

Practice address

370 W Hickory Ave
Bastrop, LA 71220-4442

Phone

(318) 281-6523

Fax

(318) 283-1097

NPI assigned

Nov 17, 2011

Organization subpart

No

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

Authorized official

Name

Mr. Charles G Gladney Jr.

Title

Managing Member

Phone

(318) 281-0078

Specialties & licenses 1

Addresses

Other names 1

• Hickory Manor Nursing and Rehabilitation Center Doing business as

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

{
    "created_epoch": "1321488000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1321488000000",
    "number": "1154698280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1523 TEXAS AVE",
            "city": "BASTROP",
            "state": "LA",
            "postal_code": "712204043",
            "telephone_number": "318-281-0078",
            "fax_number": "318-281-2753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "370 W HICKORY AVE",
            "city": "BASTROP",
            "state": "LA",
            "postal_code": "712204442",
            "telephone_number": "318-281-6523",
            "fax_number": "318-283-1097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAGNIAPPE HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-17",
        "last_updated": "2011-11-17",
        "status": "A",
        "authorized_official_last_name": "GLADNEY",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "318-281-0078",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hickory Manor Nursing and Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Rachel Kirgis
• Sharon Marie Korn, RPH
• Monique Kyles
• Ditoephia Lacour
• Nicholas Andrew Ladart
• Lagniappe Healthcare, LLC
• Pamela B Laird, SLP
• Tod Blane Lawhon, DDS
• Dallas Hunter Leith, BACHELORS
• Liberty Healthcare Systems

• Skilled Nursing Facility in Bastrop, LA
• Providers in Bastrop, 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 Nov 17, 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.