NPIMap

Organization Active NPI

Meadowcrest Nursing and Rehabilitation, LLC

  • Skilled Nursing Facility
  • Gretna, LA
National Provider Identifier
1740446848
Registry record updated Jul 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
MEADOWCREST NURSING AND REHABILITATION, LLC
Practice address
535 Commerce St
Gretna, LA 70056-7316
Phone
(504) 393-9595
Fax
(504) 392-8899
NPI assigned
Jul 29, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2008

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

Authorized official

Name
Mr. Robert Bates
Title
Owner
Phone
(940) 464-7010

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

535 Commerce St
Gretna, LA 70056-7316

Mailing address

535 Commerce St
Gretna, LA 70056-7316
Phone (504) 393-9595

Other identifiers 1

IdentifierTypeStateIssuer
1521205MedicaidLA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1217289600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217289600000",
    "number": "1740446848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "535 COMMERCE ST",
            "city": "GRETNA",
            "state": "LA",
            "postal_code": "700567316",
            "telephone_number": "504-393-9595",
            "fax_number": "504-392-8899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "535 COMMERCE ST",
            "city": "GRETNA",
            "state": "LA",
            "postal_code": "700567316",
            "telephone_number": "504-393-9595",
            "fax_number": "504-392-8899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEADOWCREST NURSING AND REHABILITATION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-29",
        "last_updated": "2008-07-29",
        "status": "A",
        "authorized_official_last_name": "BATES",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "940-464-7010",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1521205",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gretna, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 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.