NPIMap

Organization Active NPI

Mansfield Nursing Center

  • Assisted Living Facility
  • Mansfield, LA
National Provider Identifier
1780610683
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
474 Issued in LA
Legal business name
MANSFIELD NURSING CENTER
Practice address
1725 McArthur Dr
Mansfield, LA 71052-4501
Phone
(318) 872-9911
Fax
(318) 871-4343
NPI assigned
Jun 23, 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
Roy Bridges
Title
Administrator
Phone
(318) 872-9911

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 474 LA Primary

Addresses

Primary practice location

1725 McArthur Dr
Mansfield, LA 71052-4501

Mailing address

PO Box 761
Mansfield, LA 71052-0761
Phone (318) 872-9911

Other identifiers 1

IdentifierTypeStateIssuer
1518352MedicaidLA

National Provider Directory

National Provider Directory
Tax ID family
Mansfield 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.

NPI Registry JSON

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

{
    "created_epoch": "1151020800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1780610683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 761",
            "city": "MANSFIELD",
            "state": "LA",
            "postal_code": "710520761",
            "telephone_number": "318-872-9911",
            "fax_number": "318-871-4343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1725 MCARTHUR DR",
            "city": "MANSFIELD",
            "state": "LA",
            "postal_code": "710524501",
            "telephone_number": "318-872-9911",
            "fax_number": "318-871-4343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANSFIELD NURSING CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BRIDGES",
        "authorized_official_first_name": "ROY",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "318-872-9911"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "LA",
            "license": "474",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1518352",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mansfield, 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.