Summerlin Lane Nursing Home Inc
Organization Active NPI Skilled Nursing Facility · Bastrop, LA
NPI 1922099381 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1922099381
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Skilled Nursing Facility 314000000X
- License
- 291 (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
- Organization subpart
- No
Authorized official
- Name
- Mrs. Barbara Ann Parker
- Title
- Administrator
- Phone
- (318) 281-5188
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 291 | LA | Yes |
Addresses
Primary practice location
1408 Summerlin LN
Bastrop, LA 71220-2529
Mailing address
1408 Summerlin LN
Bastrop, LA 71220-2529
Phone (318) 281-5188
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1513229 | Medicaid | LA |
Other providers in Bastrop, LA
- Sterlington Critical Access Hospital L.L.C
- Sterlington Critical Access Hospital, L.L.C.
- Sterlington Critical Access Hospital, L.L.C.
- Stefan Stewart
- Holly Stover
- Summerlin Lane Nursing Home, Inc.
- Kimball Tate
- Amaris La'Nise Taylor
- Billy Taylor
- Paul Clayton Taylor
All providers in Bastrop, 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.