Louisiana Guest House LLC
Organization Active NPI Skilled Nursing Facility · Lafayette, LA
NPI 1902855372 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1902855372
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Skilled Nursing Facility 314000000X
- License
- 923 (LA)
- Legal business name
- LOUISIANA GUEST HOUSE LLC
- Practice address
- 1511 Dulles Dr
Lafayette, LA 70506-3718 - Phone
- (337) 216-0950
- Fax
- (337) 216-0992
- NPI assigned
- May 10, 2006
- Organization subpart
- No
Authorized official
- Name
- James E Richardson
- Title
- Ceo
- Phone
- (318) 445-6470
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 923 | LA | Yes |
Addresses
Primary practice location
1511 Dulles Dr
Lafayette, LA 70506-3718
Mailing address
PO Box 8055
Alexandria, LA 71306-1055
Phone (318) 445-6470
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1521477 | Medicaid | LA |
Other names
- Magnolia Estates
Other providers in Lafayette, LA
- Louisiana Em-1 Medical Services, P.C.
- Louisiana Emergency Physicians, LLC
- Louisiana Gastroenterology Associates LLC
- Louisiana Geriatric Psychological Services, a Professional Corporation
- Louisiana Guest House
- Louisiana Health & Rehabilitation Coptions
- Louisiana Health & Rehabilitation Coptions
- Louisiana Health & Rehabilitation Coptions
- Louisiana Health & Rehabilitation Coptions
- Louisiana Health & Rehabilitation Coptions
All providers in Lafayette, LA · Skilled Nursing Facility in Louisiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.