Organization Active NPI

Ascension Care Center

  • Skilled Nursing Facility
  • Gonzales, LA
National Provider Identifier
1649375726
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
804 Issued in LA
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, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1510084MedicaidLA

National Provider Directory

National Provider Directory

Locations

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.

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

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.

Verify at the official NPI Registry.