Organization Active NPI

Summerlin Lane Nursing Home Inc

  • Skilled Nursing Facility
  • Bastrop, LA
National Provider Identifier
1922099381
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
291 Issued in LA
Legal business name
SUMMERLIN LANE NURSING HOME INC
Practice address
1408 Summerlin LN
Bastrop, LA 71220-2529
Phone
(318) 281-5188
Fax
(318) 283-2989
NPI assigned
Nov 3, 2005
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Barbara Ann Parker
Title
Administrator
Phone
(318) 281-5188

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 291 LA Primary

Addresses

Primary practice location

1408 Summerlin LN
Bastrop, LA 71220-2529

Mailing address

1408 Summerlin LN
Bastrop, LA 71220-2529
Phone (318) 281-5188

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1130976000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1922099381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1408 SUMMERLIN LN",
            "city": "BASTROP",
            "state": "LA",
            "postal_code": "712202529",
            "telephone_number": "318-281-5188",
            "fax_number": "318-283-2989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1408 SUMMERLIN LN",
            "city": "BASTROP",
            "state": "LA",
            "postal_code": "712202529",
            "telephone_number": "318-281-5188",
            "fax_number": "318-283-2989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMMERLIN LANE NURSING HOME INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PARKER",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "318-281-5188",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "LA",
            "license": "291",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bastrop, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.