Louisiana Guest House LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

924 Issued in LA

Legal business name

LOUISIANA GUEST HOUSE LLC

Doing business as

Jennings Guest House

Practice address

203 S Louise St
Jennings, LA 70546-6203

Phone

(337) 824-2466

Fax

(337) 824-2465

NPI assigned

May 10, 2006

Last updated

Aug 22, 2020By 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

James E Richardson Jr.

Title

Chief Executive Officer

Phone

(318) 445-6470

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Jennings Guest House Doing business as

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

{
    "created_epoch": "1147219200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1356391510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8055",
            "city": "ALEXANDRIA",
            "state": "LA",
            "postal_code": "713061055",
            "telephone_number": "318-445-6470",
            "fax_number": "318-445-6422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 S LOUISE ST",
            "city": "JENNINGS",
            "state": "LA",
            "postal_code": "705466203",
            "telephone_number": "337-824-2466",
            "fax_number": "337-824-2465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOUISIANA GUEST HOUSE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RICHARDSON",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "318-445-6470",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "LA",
            "license": "924",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1517666",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jennings Guest House",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Skilled Nursing Facility in Jennings, LA
• Providers in Jennings, LA by specialty
• Skilled Nursing Facility 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.