Organization Active NPI

Oak Park Health Care Center, LLC

  • Skilled Nursing Facility
  • Lake Charles, LA
National Provider Identifier
1568514974
Registry record updated Jun 29, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
841 Issued in LA
Legal business name
OAK PARK HEALTH CARE CENTER, LLC
Practice address
2335 Oak Park Blvd
Lake Charles, LA 70601-7970
Phone
(337) 478-2920
Fax
(337) 479-1512
NPI assigned
Jan 17, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2009

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

Authorized official

Name
Mr. Bob G. Dean Jr.
Title
Managing Member
Phone
(225) 343-9152

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 841 LA Primary

Addresses

Primary practice location

2335 Oak Park Blvd
Lake Charles, LA 70601-7970

Mailing address

2335 Oak Park Blvd
Lake Charles, LA 70601-7970
Phone (337) 478-2920

Other identifiers 1

IdentifierTypeStateIssuer
52046MedicaidLA

National Provider Directory

National Provider Directory

Locations

2717 1st Ave
Lake Charles, LA 70601
Phone (337) 478-2920

NPI Registry JSON

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": "1568514974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2335 OAK PARK BLVD",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706017970",
            "telephone_number": "337-478-2920",
            "fax_number": "337-479-1512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2335 OAK PARK BLVD",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706017970",
            "telephone_number": "337-478-2920",
            "fax_number": "337-479-1512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OAK PARK HEALTH CARE CENTER, LLC",
        "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": "MANAGING MEMBER",
        "authorized_official_telephone_number": "225-343-9152",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "LA",
            "license": "841",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "52046",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Charles, LA

Sources for this page

  • 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.