NPIMap

Organization Active NPI

Wynhoven Healthcare Center

  • Skilled Nursing Facility
  • Marrero, LA
National Provider Identifier
1477720456
Registry record updated May 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
454 Issued in LA
Legal business name
WYNHOVEN HEALTHCARE CENTER
Practice address
1050 Medical Center Blvd
Marrero, LA 70072-3144
Phone
(504) 347-0777
NPI assigned
May 9, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 9, 2008

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

Authorized official

Name
Jane Fockler
Title
Administrator
Phone
(504) 347-0777

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 454 LA Primary

Addresses

Primary practice location

1050 Medical Center Blvd
Marrero, LA 70072-3144

Mailing address

1050 Medical Center Blvd
Marrero, LA 70072-3144
Phone (504) 347-0777

Other identifiers 1

IdentifierTypeStateIssuer
1378577MedicaidLA

National Provider Directory

National Provider Directory

Locations

1050 Medical Center Blvd
Marrero, LA 70072
Phone (504) 347-0777

NPI Registry JSON

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

{
    "created_epoch": "1210291200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210291200000",
    "number": "1477720456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1050 MEDICAL CENTER BLVD",
            "city": "MARRERO",
            "state": "LA",
            "postal_code": "700723144",
            "telephone_number": "504-347-0777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1050 MEDICAL CENTER BLVD",
            "city": "MARRERO",
            "state": "LA",
            "postal_code": "700723144",
            "telephone_number": "504-347-0777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WYNHOVEN HEALTHCARE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-09",
        "last_updated": "2008-05-09",
        "status": "A",
        "authorized_official_last_name": "FOCKLER",
        "authorized_official_first_name": "JANE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "504-347-0777"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "LA",
            "license": "454",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1378577",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Marrero, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2008; 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.