Concordia Nursing Home, Inc. Dba: Tensas Healthcare

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

302 Issued in LA

Legal business name

CONCORDIA NURSING HOME, INC. DBA: TENSAS HEALTHCARE

Practice address

6818 Highway 84
Ferriday, LA 71334-5101

Phone

(318) 467-5117

Fax

(318) 467-9716

NPI assigned

Jun 19, 2009

Last updated

Jun 19, 2009By 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

Mrs. Tina L Ellis

Title

Director of Financial Operations

Phone

(601) 304-0980

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1245369600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1245369600000",
    "number": "1629205471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6818 HIGHWAY 84",
            "city": "FERRIDAY",
            "state": "LA",
            "postal_code": "713345101",
            "telephone_number": "318-467-5117",
            "fax_number": "318-467-9716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6818 HIGHWAY 84",
            "city": "FERRIDAY",
            "state": "LA",
            "postal_code": "713345101",
            "telephone_number": "318-467-5117",
            "fax_number": "318-467-9716"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONCORDIA NURSING HOME, INC. DBA: TENSAS HEALTHCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-19",
        "last_updated": "2009-06-19",
        "status": "A",
        "authorized_official_last_name": "ELLIS",
        "authorized_official_first_name": "TINA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "DIRECTOR OF FINANCIAL OPERATIONS",
        "authorized_official_telephone_number": "601-304-0980",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "LA",
            "license": "302",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1517976",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Komonicca Cook Collins
• William Carroll Colvin, RPH
• Concordia Drug, Inc.
• Concordia Emergency Physicians Group LLC
• Concordia Nursing Home Inc (Camelot Leisure Living)
• Concordia Parish Hospital Service District Number One (Trinity Medical)
• Concordia Parish Hospital Service District Number One (Trinity Medical)
• Concordia Parish Hospital Service District Number One (Trinity Medical Clinic)
• Concordia Parish Hospital Service District Number One (Trinity Medical Ferriday Clinic)
• Concordia Parish Hospital Service District Number One (Trinity Medical)

• Skilled Nursing Facility in Ferriday, LA
• Providers in Ferriday, 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 19, 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.