Organization Active NPI

Chateau Living Center, L.L.C.

  • Skilled Nursing Facility
  • Kenner, LA
National Provider Identifier
1659370989
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
716 Issued in LA
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

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. John Robert Laster
Title
Administrator
Phone
(504) 464-0604

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1521302MedicaidLA
4706520001OtherLAENTERAL

Other names 1

  • Chateau Living Center Doing business as

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.