Merryville Nursing Center

Primary specialty

Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X

License

881 Issued in LA

Legal business name

MERRYVILLE NURSING CENTER

Practice address

900 N Bryan St
Merryville, LA 70653-3302

Phone

(337) 825-6181

Fax

(337) 825-2007

NPI assigned

Jan 23, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Gary Mize

Title

Administrator

Phone

(337) 825-6181

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1233532800000",
    "number": "1376697664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 N BRYAN ST",
            "address_2": "P.O. BOX 820",
            "city": "MERRYVILLE",
            "state": "LA",
            "postal_code": "706533302",
            "telephone_number": "337-825-6181",
            "fax_number": "337-825-2007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 N BRYAN ST",
            "city": "MERRYVILLE",
            "state": "LA",
            "postal_code": "706533302",
            "telephone_number": "337-825-6181",
            "fax_number": "337-825-2007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERRYVILLE NURSING CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-23",
        "last_updated": "2009-02-02",
        "status": "A",
        "authorized_official_last_name": "MIZE",
        "authorized_official_first_name": "GARY",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "337-825-6181",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "LA",
            "license": "881",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1510025",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christie Harrington, APRN, FNP-C
• Marilyn Hieronymus
• Iberia Comprehensive Community Health Center,Inc.
• Kymberly McMillian
• Merryville Family Clinic, LLC
• Merryville Rehabilitation Limited Partnership
• Paradigm Healthcare LLC
• Michele Payne, LMFT
• Joni Dianne Whitehead, FNP-C

• Nursing Facility/Intermediate Care Facility in Merryville, LA
• Providers in Merryville, LA by specialty
• Nursing Facility/Intermediate Care Facility in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 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.