Organization Active NPI

Tangi Pines Nursing Center LLC

  • Skilled Nursing Facility
  • Amite, LA
National Provider Identifier
1740277003
Registry record updated Jun 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
834 Issued in LA
Legal business name
TANGI PINES NURSING CENTER LLC
Practice address
709 E North PL
Amite, LA 70422-2307
Phone
(985) 748-9464
Fax
(985) 748-4404
NPI assigned
Oct 3, 2005
Last updated
Jun 16, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Daniel J Laborde
Title
Coo/Member
Phone
(985) 429-8800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 834 LA Primary

Addresses

Primary practice location

709 E North PL
Amite, LA 70422-2307

Mailing address

200 W University Ave
Hammond, LA 70401-1319
Phone (985) 429-8800

Other identifiers 1

IdentifierTypeStateIssuer
1510505MedicaidLA

National Provider Directory

National Provider Directory
Tax ID family
Tangi Pines Nursing Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

709 E North Pl
Amite, LA 70422
Phone (985) 289-5264

NPI Registry JSON

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

{
    "created_epoch": "1128297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213574400000",
    "number": "1740277003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 W UNIVERSITY AVE",
            "city": "HAMMOND",
            "state": "LA",
            "postal_code": "704011319",
            "telephone_number": "985-429-8800",
            "fax_number": "985-542-0912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "709 E NORTH PL",
            "city": "AMITE",
            "state": "LA",
            "postal_code": "704222307",
            "telephone_number": "985-748-9464",
            "fax_number": "985-748-4404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TANGI PINES NURSING CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-03",
        "last_updated": "2008-06-16",
        "status": "A",
        "authorized_official_last_name": "LABORDE",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "COO/MEMBER",
        "authorized_official_telephone_number": "985-429-8800",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "LA",
            "license": "834",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1510505",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Amite, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2008; 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.