Ponchatoula Nursing Home, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

856 Issued in LA

Legal business name

PONCHATOULA NURSING HOME, LLC

Doing business as

Belle Maison Nursing Home

Practice address

15704 Medical Arts Dr
Hammond, LA 70403-1446

Phone

(985) 542-0110

Fax

(985) 542-8619

NPI assigned

Oct 5, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Elwood Paul Guitreau Jr.

Title

Administrator

Phone

(985) 542-0110

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Belle Maison Nursing Home Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Manninos Family Practice Pharmacy Inc

  dba Mannino's Family Practice Pharmacy

  • Community/Retail Pharmacy
  • Hammond, LA
  • NPI 1891700431

  Member Of

  NPD member

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1780770719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15704 MEDICAL ARTS DR",
            "city": "HAMMOND",
            "state": "LA",
            "postal_code": "704031446",
            "telephone_number": "985-542-0110",
            "fax_number": "985-542-8619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15704 MEDICAL ARTS DR",
            "city": "HAMMOND",
            "state": "LA",
            "postal_code": "704031446",
            "telephone_number": "985-542-0110",
            "fax_number": "985-542-8619"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PONCHATOULA NURSING HOME, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GUITREAU",
        "authorized_official_first_name": "ELWOOD",
        "authorized_official_middle_name": "PAUL",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "985-542-0110",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "LA",
            "license": "856",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1510467",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1163163",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Belle Maison Nursing Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sara Elizabeth Pohlman, AU.D.
• Blaise V Polito, D.D.S.
• Patricia Ann Polito, BACHERLORS
• Joseph Pomaville, MD
• Ponchatoula Nursing Home, LLC
• Pontchartrain Cancer Center Inc
• Carol Ann Pooley, MSW, LCSW
• Gelise Marie Porter, DDS
• Marya Jancinta Porter, M.D.
• Mason G Porter, DPT

• Skilled Nursing Facility in Hammond, LA
• Providers in Hammond, LA by specialty
• Skilled Nursing Facility in Louisiana

• 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.