Active NPI
Ascension Care Center
- Skilled Nursing Facility
- Gonzales, LA
National Provider Identifier
1649375726
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 804
- Legal business name
- ASCENSION CARE CENTER
- Practice address
- 711 W Cornerview St
Gonzales, LA 70737-3307 - Phone
- (225) 644-6581
- Fax
- (225) 644-8430
- NPI assigned
- Sep 14, 2006
- Last updated
- Aug 22, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Clint Paul Guillot
- Title
- Owner/Member
- Phone
- (225) 644-4853
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 804 | LA | Primary |
Addresses
Primary practice location
711 W Cornerview St
Gonzales, LA 70737-3307
Mailing address
1039 E Highway 30
Gonzales, LA 70737-4757
Phone (225) 644-4853
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1510084 | Medicaid | LA |
National Provider Directory
National Provider DirectoryLocations
1039 E Highway 30
Gonzales, LA 70737
Phone (225) 644-4853
711 W Cornerview St
Gonzales, LA 70737
Phone (225) 644-6581
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Family Medicine Physician
- Baton Rouge, LA
- NPI 1215934377
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158192000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1649375726",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1039 E HIGHWAY 30",
"city": "GONZALES",
"state": "LA",
"postal_code": "707374757",
"telephone_number": "225-644-4853",
"fax_number": "225-647-9658"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "711 W CORNERVIEW ST",
"city": "GONZALES",
"state": "LA",
"postal_code": "707373307",
"telephone_number": "225-644-6581",
"fax_number": "225-644-8430"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ASCENSION CARE CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-14",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "GUILLOT",
"authorized_official_first_name": "CLINT",
"authorized_official_middle_name": "PAUL",
"authorized_official_title_or_position": "OWNER/MEMBER",
"authorized_official_telephone_number": "225-644-4853",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "LA",
"license": "804",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1510084",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Gonzales, LA
- Beau Vincent Arceneaux, PT, DPT
- Shanna Armstrong, MS, CCC-SLP, L-SLP
- Emma Boudreaux Arnold, OT
- Staci Arnold
- Ascension Behavioral Hospital, LLC
- Ascension Center for Womens Health, LLC
- Ascension Dental Associates, LLC
- Ascension Emergency Physicians LLC
- Ascension Medical Clinic, LLC
- Ascension Oaks Nursing & Rehabilitation Center, LLC (Ascension Oaks Nursing & Rehabilitation Center)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.