NPIMap

Organization Active NPI

Acadian 4005 Tenant, LLC

  • Skilled Nursing Facility
  • Baton Rouge, LA
National Provider Identifier
1275537136
Registry record updated Feb 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
264 Issued in LA
Legal business name
ACADIAN 4005 TENANT, LLC
Practice address
4005 North Blvd
Baton Rouge, LA 70806-3830
Phone
(225) 387-5934
Fax
(225) 387-6122
NPI assigned
Jun 9, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2008

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

Authorized official

Name
Mr. Alex Paley
Title
Coo
Phone
(914) 390-4363

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 264 LA Primary

Addresses

Primary practice location

4005 North Blvd
Baton Rouge, LA 70806-3830

Mailing address

4005 North Blvd
Baton Rouge, LA 70806-3830
Phone (225) 387-5934

Other identifiers 1

IdentifierTypeStateIssuer
1520772MedicaidLA

Other names 1

  • Acadian Nursing - Rehabilitation Center Doing business as

National Provider Directory

National Provider Directory

Locations

4005 North Blvd
Baton Rouge, LA 70806
Phone (225) 387-5077

NPI Registry JSON

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

{
    "created_epoch": "1118275200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202688000000",
    "number": "1275537136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4005 NORTH BLVD",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708063830",
            "telephone_number": "225-387-5934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4005 NORTH BLVD",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708063830",
            "telephone_number": "225-387-5934",
            "fax_number": "225-387-6122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACADIAN 4005 TENANT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-09",
        "last_updated": "2008-02-11",
        "status": "A",
        "authorized_official_last_name": "PALEY",
        "authorized_official_first_name": "ALEX",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "914-390-4363",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "LA",
            "license": "264",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1520772",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Acadian Nursing - Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Baton Rouge, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 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.