NPIMap

Organization Active NPI

Hospital Service District #1 of East Baton Rouge Parish

Doing business as Lane Nursing Home an affiliate of Lane Regional Medical Center

  • Nursing Facility/Intermediate Care Facility
  • Zachary, LA
National Provider Identifier
1225025802
Registry record updated Jan 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X
License
148 Issued in LA
Legal business name
HOSPITAL SERVICE DISTRICT #1 OF EAST BATON ROUGE PARISH
Doing business as
Lane Nursing Home an affiliate of Lane Regional Medical Center
Lane Regional Medical Center-Skilled Nursing
Practice address
6300 Main St
Zachary, LA 70791-4037
Phone
(225) 658-4345
Fax
(225) 658-4192
NPI assigned
Sep 29, 2005
Last updated
Jan 26, 2020By the provider in NPPES
Organization subpart
Yes
Parent organization
LANE REGIONAL MEDICAL CENTER-SKILLED NURSING FACILITYAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 26, 2020

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

Authorized official

Name
Mr. Phil Hacker
Title
Chief Financial Officer
Phone
(225) 658-4505

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Facility/Intermediate Care Facility 313M00000X 148 LA Primary

Addresses

Primary practice location

6300 Main St
Zachary, LA 70791-4037

Mailing address

6300 Main St
Zachary, LA 70791-4037
Phone (225) 658-4345

Other identifiers 1

IdentifierTypeStateIssuer
1511374MedicaidLA

Other names 2

  • Lane Nursing Home an affiliate of Lane Regional Medical Center Doing business as
  • Lane Regional Medical Center-Skilled Nursing Doing business as

National Provider Directory

National Provider Directory
Part of
Hospital Service District 1

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1127952000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1579996800000",
    "number": "1225025802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6300 MAIN ST",
            "city": "ZACHARY",
            "state": "LA",
            "postal_code": "707914037",
            "telephone_number": "225-658-4345",
            "fax_number": "225-658-4192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6300 MAIN ST",
            "city": "ZACHARY",
            "state": "LA",
            "postal_code": "707914037",
            "telephone_number": "225-658-4345",
            "fax_number": "225-658-4192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOSPITAL SERVICE DISTRICT #1 OF EAST BATON ROUGE PARISH",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LANE REGIONAL MEDICAL CENTER-SKILLED NURSING FACILITY",
        "enumeration_date": "2005-09-29",
        "last_updated": "2020-01-26",
        "certification_date": "2020-01-26",
        "status": "A",
        "authorized_official_last_name": "HACKER",
        "authorized_official_first_name": "PHIL",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "225-658-4505",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "LA",
            "license": "148",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1511374",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lane Nursing Home an affiliate of Lane Regional Medical Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Lane Regional Medical Center-Skilled Nursing",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Zachary, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 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.