NPIMap

Organization Active NPI

Mer Rouge Community Service Inc

  • Nursing Facility/Intermediate Care Facility
  • Mer Rouge, LA
National Provider Identifier
1851553689
Registry record updated Sep 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X
Legal business name
MER ROUGE COMMUNITY SERVICE INC
Practice address
1400 Davenport Ave
Mer Rouge, LA 71261-0263
Phone
(318) 647-3691
Fax
(318) 647-3743
NPI assigned
Jul 2, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2008

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

Authorized official

Name
Mrs. Tina Michelle Reynolds
Title
Billing Bookkeeping
Phone
(318) 647-3691

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Facility/Intermediate Care Facility 313M00000X Primary

Addresses

Primary practice location

1400 Davenport Ave
Mer Rouge, LA 71261-0263

Mailing address

PO Box 263
Mer Rouge, LA 71261-0263
Phone (318) 647-3691

Other identifiers 1

IdentifierTypeStateIssuer
1557871MedicaidLA

National Provider Directory

National Provider Directory
Tax ID family
Mer Rouge Community Service Inc2 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.

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1214956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222128000000",
    "number": "1851553689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 263",
            "city": "MER ROUGE",
            "state": "LA",
            "postal_code": "712610263",
            "telephone_number": "318-647-3691",
            "fax_number": "318-647-3743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 DAVENPORT AVE",
            "city": "MER ROUGE",
            "state": "LA",
            "postal_code": "712610263",
            "telephone_number": "318-647-3691",
            "fax_number": "318-647-3743"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MER ROUGE COMMUNITY SERVICE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-02",
        "last_updated": "2008-09-23",
        "status": "A",
        "authorized_official_last_name": "REYNOLDS",
        "authorized_official_first_name": "TINA",
        "authorized_official_middle_name": "MICHELLE",
        "authorized_official_title_or_position": "BILLING BOOKKEEPING",
        "authorized_official_telephone_number": "318-647-3691",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1557871",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mer Rouge, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 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.