NPIMap

Organization Active NPI

Courtyard Manor Nurse Care Center

  • Nursing Facility/Intermediate Care Facility
  • Lafayette, LA
National Provider Identifier
1164678405
Registry record updated Aug 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X
License
936 Issued in LA
Legal business name
COURTYARD MANOR NURSE CARE CENTER
Practice address
306 Sidney Martin Rd
Lafayette, LA 70507-4518
Phone
(337) 237-3940
Fax
(337) 769-1113
NPI assigned
Aug 18, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2008

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

Authorized official

Name
Ms. Crystal Mouton McCoy
Title
Business Office Manager
Phone
(337) 237-3940

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Facility/Intermediate Care Facility 313M00000X 936 LA Primary

Addresses

Primary practice location

306 Sidney Martin Rd
Lafayette, LA 70507-4518

Mailing address

306 Sidney Martin Rd
Lafayette, LA 70507-4518
Phone (337) 237-3940

National Provider Directory

National Provider Directory
Tax ID family
Courtyard Manor Nurse Care Center2 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.

NPI Registry JSON

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

{
    "created_epoch": "1219017600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219017600000",
    "number": "1164678405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "306 SIDNEY MARTIN RD",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705074518",
            "telephone_number": "337-237-3940",
            "fax_number": "337-769-1113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "306 SIDNEY MARTIN RD",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705074518",
            "telephone_number": "337-237-3940",
            "fax_number": "337-769-1113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COURTYARD MANOR NURSE CARE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-18",
        "last_updated": "2008-08-18",
        "status": "A",
        "authorized_official_last_name": "MCCOY",
        "authorized_official_first_name": "CRYSTAL",
        "authorized_official_middle_name": "MOUTON",
        "authorized_official_title_or_position": "BUSINESS OFFICE MANAGER",
        "authorized_official_telephone_number": "337-237-3940",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "LA",
            "license": "936",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Aug 18, 2008; 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.