NPIMap

Organization Active NPI

Resthaven Living Center LLC

Doing business as Resthaven Living Center

  • Skilled Nursing Facility
  • Bogalusa, LA
National Provider Identifier
1235177346
Registry record updated Sep 27, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
29 Issued in LA
Legal business name
RESTHAVEN LIVING CENTER LLC
Doing business as
Resthaven Living Center
Practice address
1301 Harrison St
Bogalusa, LA 70427-1711
Phone
(985) 732-3909
Fax
(985) 735-7451
NPI assigned
Jun 2, 2006
Last updated
Sep 27, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2007

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

Authorized official

Name
Kevin Butler
Title
Manager
Phone
(985) 732-3909

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 29 LA Primary

Addresses

Primary practice location

1301 Harrison St
Bogalusa, LA 70427-1711

Mailing address

1301 Harrison St
Bogalusa, LA 70427-1711
Phone (985) 732-3909

Other names 1

  • RESTHAVEN LIVING CENTER Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1149206400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190851200000",
    "number": "1235177346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 HARRISON ST",
            "city": "BOGALUSA",
            "state": "LA",
            "postal_code": "704271711",
            "telephone_number": "985-732-3909",
            "fax_number": "985-735-7451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 HARRISON ST",
            "city": "BOGALUSA",
            "state": "LA",
            "postal_code": "704271711",
            "telephone_number": "985-732-3909",
            "fax_number": "985-735-7451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESTHAVEN LIVING CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-02",
        "last_updated": "2007-09-27",
        "status": "A",
        "authorized_official_last_name": "BUTLER",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "985-732-3909"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "LA",
            "license": "29",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "RESTHAVEN LIVING CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bogalusa, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2007; 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.