Carroll Nursing Home

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

165 Issued in LA

Legal business name

CARROLL NURSING HOME

Practice address

307 N Castleman Street
Oak Grove, LA 71263

Phone

(318) 428-3249

Fax

(318) 428-7547

NPI assigned

Apr 11, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Lisa Cox Reardon

Title

Owner

Phone

(318) 428-3249

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1176249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1346463767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 13524",
            "city": "ALEXANDRIA",
            "state": "LA",
            "postal_code": "713153524",
            "telephone_number": "800-815-0586",
            "fax_number": "318-445-9433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "307 N CASTLEMAN STREET",
            "city": "OAK GROVE",
            "state": "LA",
            "postal_code": "71263",
            "telephone_number": "318-428-3249",
            "fax_number": "318-428-7547"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARROLL NURSING HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "REARDON",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "COX",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "318-428-3249",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "LA",
            "license": "165",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1549304",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "F3410",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kristen Auger, APRN-CNP
• Baily Elizabeth Barnett, OTA
• Bio-Medical Applications of Louisiana, LLC
• Thelma Diane Broadhurst, MA, CCC-SLP
• Carroll Health and Rehab LLC
• Carroll Nursing Home
• Crystal Conn
• Lori Cristina Contente, RPH
• Amelia Joy Crnkovic, COTA/L
• Crossings Christian Counseling

• Durable Medical Equipment & Medical Supplies in Oak Grove, LA
• Providers in Oak Grove, LA by specialty
• Durable Medical Equipment & Medical Supplies in Louisiana

• 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.

Verify at the official NPI Registry.