Maison Deville Nursing Home of Opelousas, Inc.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

213 Issued in LA

Legal business name

MAISON DEVILLE NURSING HOME OF OPELOUSAS, INC.

Practice address

7941 I-49 South Service Road
Opelousas, LA 70570

Phone

(337) 942-7588

NPI assigned

Jan 17, 2007

Organization subpart

No

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

Authorized official

Name

Bob G. Dean Jr.

Title

President

Phone

(225) 343-9152

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1168992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1246233600000",
    "number": "1366594798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7941 I-49 SOUTH SERVICE ROAD",
            "city": "OPELOUSAS",
            "state": "LA",
            "postal_code": "70570",
            "telephone_number": "337-942-7588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7941 I-49 SOUTH SERVICE ROAD",
            "city": "OPELOUSAS",
            "state": "LA",
            "postal_code": "70570",
            "telephone_number": "337-942-7588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAISON DEVILLE NURSING HOME OF OPELOUSAS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-17",
        "last_updated": "2009-06-29",
        "status": "A",
        "authorized_official_last_name": "DEAN",
        "authorized_official_first_name": "BOB",
        "authorized_official_middle_name": "G.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "225-343-9152",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "LA",
            "license": "213",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "52027",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Terry Lam Lu, OD
• Luris Sanchez MD Apmc
• Demi Kendall Lyons, PA
• Hal David Macmurdo, MD
• Madison Health Center LLC
• Elizabeth Malbrew
• Brittany Malbrough
• Lajeanne Malbrough, CSW
• Devin Manuel, MBA
• Kalin Manuel

• Skilled Nursing Facility in Opelousas, LA
• Providers in Opelousas, 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 Jun 29, 2009; 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.