Southeast Louisiana War Veterans Home

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PHY005821 Issued in LA

Legal business name

SOUTHEAST LOUISIANA WAR VETERANS HOME

Doing business as

Southeast Louisiana War Veterans Home

Practice address

4080 W Airline Hwy
Reserve, LA 70084-5712

Phone

(985) 479-4080

Fax

(985) 479-4091

NPI assigned

Aug 7, 2015

Last updated

Aug 7, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Robert Becnel

Title

Pharmacists-in-Charge

Phone

(985) 479-4080

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Southeast Louisiana War Veterans Home Doing business as

Tax ID family

Southeast Louisiana Veterans Home2 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.

• Southeast Louisiana Veterans Home

  • Skilled Nursing Facility
  • Reserve, LA
  • NPI 1770635211
  NPD tax ID

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

{
    "created_epoch": "1438905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1438905600000",
    "number": "1346626801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4080 W AIRLINE HWY",
            "city": "RESERVE",
            "state": "LA",
            "postal_code": "700845712",
            "telephone_number": "985-479-4080",
            "fax_number": "985-479-4091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4080 W AIRLINE HWY",
            "city": "RESERVE",
            "state": "LA",
            "postal_code": "700845712",
            "telephone_number": "985-479-4080",
            "fax_number": "985-479-4091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHEAST LOUISIANA WAR VETERANS HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-07",
        "last_updated": "2015-08-07",
        "status": "A",
        "authorized_official_last_name": "BECNEL",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "PHARMACISTS-IN-CHARGE",
        "authorized_official_telephone_number": "985-479-4080"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "LA",
            "license": "PHY005821",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2153438",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Southeast Louisiana War Veterans Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Heydie Karen Sciacca, M.D.
• Kenya Shaw
• Van R Small Jr.
• Amber Lynn Smith
• Southeast Louisiana Veterans Home
• Denis Hubert St. Pierre, RPH
• Sanjanette Burl Taylor
• Teche Action Board Inc (Teche Health @ Reserve)
• Teche Action Board, Inc. (Teche Health SBHC @ East St. John High)
• Kelley Anne Thomas, RN

• Community/Retail Pharmacy in Reserve, LA
• Providers in Reserve, LA by specialty
• Community/Retail Pharmacy in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2015; 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.