Active NPI
Chateau Living Center, L.L.C.
- Skilled Nursing Facility
- Kenner, LA
National Provider Identifier
1659370989
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 716
- Legal business name
- CHATEAU LIVING CENTER, L.L.C.
- Practice address
- 716 Village Rd
Kenner, LA 70065-2751 - Phone
- (504) 464-0604
- Fax
- (504) 464-0808
- NPI assigned
- Jul 19, 2005
- 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. John Robert Laster
- Title
- Administrator
- Phone
- (504) 464-0604
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 716 | LA | Primary |
Addresses
Primary practice location
716 Village Rd
Kenner, LA 70065-2751
Mailing address
716 Village Rd
Kenner, LA 70065-2751
Phone (504) 464-0604
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1521302 | Medicaid | LA | |
| 4706520001 | Other | LA | ENTERAL |
Other names 1
- Chateau Living Center
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121731200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1659370989",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "716 VILLAGE RD",
"city": "KENNER",
"state": "LA",
"postal_code": "700652751",
"telephone_number": "504-464-0604",
"fax_number": "504-464-0808"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "716 VILLAGE RD",
"city": "KENNER",
"state": "LA",
"postal_code": "700652751",
"telephone_number": "504-464-0604",
"fax_number": "504-464-0808"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CHATEAU LIVING CENTER, L.L.C.",
"organizational_subpart": "NO",
"enumeration_date": "2005-07-19",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "LASTER",
"authorized_official_first_name": "JOHN",
"authorized_official_middle_name": "ROBERT",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "504-464-0604",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "LA",
"license": "716",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1521302",
"state": "LA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ENTERAL",
"identifier": "4706520001",
"state": "LA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Chateau Living Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Kenner, 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.