Claiborne Manor Nursing Home, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

928 Issued in LA

Legal business name

CLAIBORNE MANOR NURSING HOME, LLC

Practice address

6942 Highway 79 North
Homer, LA 71040

Phone

(318) 927-3586

Fax

(318) 927-4656

NPI assigned

May 17, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Nicole Howard

Title

Coo/Cfo

Phone

(318) 445-6470

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Claiborne Rehabilitation Doing business as

Locations

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

{
    "created_epoch": "1147824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1366588800000",
    "number": "1851343529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4333 SHREVEPORT HWY",
            "city": "PINEVILLE",
            "state": "LA",
            "postal_code": "71360",
            "telephone_number": "318-445-6470",
            "fax_number": "318-641-6282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6942 HIGHWAY 79 NORTH",
            "city": "HOMER",
            "state": "LA",
            "postal_code": "71040",
            "telephone_number": "318-927-3586",
            "fax_number": "318-927-4656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLAIBORNE MANOR NURSING HOME, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-17",
        "last_updated": "2013-04-22",
        "status": "A",
        "authorized_official_last_name": "HOWARD",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_title_or_position": "COO/CFO",
        "authorized_official_telephone_number": "318-445-6470",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "LA",
            "license": "928",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1516236",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Claiborne Rehabilitation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Claiborne Ambulance Inc
• Claiborne Community Action Assoc
• Claiborne Drugstore LLC
• Claiborne Drugstore LLC
• Claiborne LTC Pharmacy, LLC
• Claiborne Operator Group LLC
• Claiborne Parish School Board
• Patrick S Clawson, D.C.
• Felicia Shanora Cooper
• Shameka Lakaun Critton

• Skilled Nursing Facility in Homer, LA
• Providers in Homer, 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 Apr 22, 2013; 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.