Ferriday Healthcare LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

878 Issued in LA

Legal business name

FERRIDAY HEALTHCARE LLC

Doing business as

Heritage Manor Health and Rehabilitation Center

Practice address

110 Serio Blvd
Ferriday, LA 71334-2013

Phone

(318) 757-8671

Fax

(318) 757-6151

NPI assigned

May 30, 2006

Last updated

Nov 27, 2023By 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

Kenneth Ussery Jr.

Title

VP

Phone

(407) 571-1550

Specialties & licenses 1

Addresses

Other names 1

• Heritage Manor Health and Rehabilitation Center Doing business as

Electronic endpoints 1

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

{
    "created_epoch": "1148947200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701043200000",
    "number": "1790732071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 SERIO BLVD",
            "city": "FERRIDAY",
            "state": "LA",
            "postal_code": "713342013",
            "telephone_number": "318-757-8671",
            "fax_number": "318-757-6151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 SERIO BLVD",
            "city": "FERRIDAY",
            "state": "LA",
            "postal_code": "713342013",
            "telephone_number": "318-757-8671",
            "fax_number": "318-757-6151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FERRIDAY HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-30",
        "last_updated": "2023-11-27",
        "certification_date": "2020-07-30",
        "status": "A",
        "authorized_official_last_name": "USSERY",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_title_or_position": "VP",
        "authorized_official_telephone_number": "407-571-1550",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "LA",
            "license": "878",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://65.196.137.118:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRResponse_Service",
            "affiliation": "Y",
            "endpointDescription": "urn:oid:2.16.840.1.113883.3.5042",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "800 Concourse Pkwy S Ste 200",
            "city": "Maitland",
            "state": "FL",
            "country_code": "US",
            "postal_code": "327516148",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Heritage Manor Health and Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Heritage Manor Health and Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Alexandra Paige Frey, FNP

• Skilled Nursing Facility in Ferriday, LA
• Providers in Ferriday, 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 Nov 27, 2023; 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.