Maison Orleans I, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

196 Issued in LA

Legal business name

MAISON ORLEANS I, LLC

Practice address

2310 Mehle St
Arabi, LA 70032-1444

Phone

(225) 343-9152

Fax

(225) 343-9154

NPI assigned

Jan 18, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Bob G. Dean Jr.

Title

Managing Member

Phone

(225) 343-9152

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1942352828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "343 3RD ST",
            "address_2": "SUITE 600",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708011309",
            "telephone_number": "225-343-9152",
            "fax_number": "225-343-9154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2310 MEHLE ST",
            "city": "ARABI",
            "state": "LA",
            "postal_code": "700321444",
            "telephone_number": "225-343-9152",
            "fax_number": "225-343-9154"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAISON ORLEANS I, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DEAN",
        "authorized_official_first_name": "BOB",
        "authorized_official_middle_name": "G.",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "225-343-9152",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "LA",
            "license": "196",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "51745",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• 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.