Active NPI
St. Landry Extended Care Hospital, LLC
- General Acute Care Hospital
- Opelousas, LA
National Provider Identifier
1164479697
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Acute Care Hospital
- License
- 479
- Legal business name
- ST. LANDRY EXTENDED CARE HOSPITAL, LLC
- Practice address
- 539 E Prudhomme St
6TH Floor
Opelousas, LA 70570-6499 - Phone
- (337) 948-5184
- Fax
- (337) 948-3294
- NPI assigned
- May 29, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Keith G. Myers
- Title
- President / Ceo
- Phone
- (337) 233-1307
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Acute Care Hospital | 282N00000X | 479 | LA | Primary |
Addresses
Primary practice location
539 E Prudhomme St
6TH Floor
Opelousas, LA 70570-6499
Mailing address
420 W Pinhook Rd
Suite a
Lafayette, LA 70503-2131
Phone (337) 233-1307
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700461 | Medicaid | LA |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148860800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1164479697",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "420 W PINHOOK RD",
"address_2": "SUITE A",
"city": "LAFAYETTE",
"state": "LA",
"postal_code": "705032131",
"telephone_number": "337-233-1307",
"fax_number": "337-233-5764"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "539 E PRUDHOMME ST",
"address_2": "6TH FLOOR",
"city": "OPELOUSAS",
"state": "LA",
"postal_code": "705706499",
"telephone_number": "337-948-5184",
"fax_number": "337-948-3294"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ST. LANDRY EXTENDED CARE HOSPITAL, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-29",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "MYERS",
"authorized_official_first_name": "KEITH",
"authorized_official_middle_name": "G.",
"authorized_official_title_or_position": "PRESIDENT / CEO",
"authorized_official_telephone_number": "337-233-1307",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "282N00000X",
"taxonomy_group": "",
"desc": "General Acute Care Hospital",
"state": "LA",
"license": "479",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1700461",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Opelousas, LA
- St Landry Pharmacy LLC
- Peyton M St Pierre, M.A., CCC-SLP
- St, Landry Radiology Associates, Apmc
- St. Landry Behavioral Health Services
- St. Landry Enterprises LLC
- St. Landry Parish Community Action Agency
- St. Landry Parish Community Action Agency
- St. Landry Parish Rural Health Network, Inc.
- St. Landry Parish School Board
- St. Landry Parish School Board
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.