St. Charles 1539 Tenant, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

391 Issued in LA

Legal business name

ST. CHARLES 1539 TENANT, LLC

Doing business as

St. Charles Health Center

Practice address

1539 Delachaise St
New Orleans, LA 70115-3513

Phone

(504) 895-3953

Fax

(504) 895-3956

NPI assigned

Jun 10, 2005

Last updated

Feb 12, 2008By 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. Alex Paley

Title

Coo

Phone

(914) 390-4363

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• St. Charles Health Center Doing business as

Locations

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

{
    "created_epoch": "1118361600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202774400000",
    "number": "1831193390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1539 DELACHAISE ST",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701153513",
            "telephone_number": "504-895-3953",
            "fax_number": "504-895-3956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1539 DELACHAISE ST",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701153513",
            "telephone_number": "504-895-3953",
            "fax_number": "504-895-3956"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. CHARLES 1539 TENANT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-10",
        "last_updated": "2008-02-12",
        "status": "A",
        "authorized_official_last_name": "PALEY",
        "authorized_official_first_name": "ALEX",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "914-390-4363",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "LA",
            "license": "391",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1518204",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "St. Charles Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Skilled Nursing Facility in New Orleans, LA
• Providers in New Orleans, 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 Feb 12, 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.