Ollie Steele Burden Manor, Inc

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

718 Issued in LA

Legal business name

OLLIE STEELE BURDEN MANOR, INC

Doing business as

St. Clare Manor

Practice address

7435 Bishop Ott Drive
Baton Rouge, LA 70806-8930

Phone

(225) 216-3604

Fax

(225) 216-3746

NPI assigned

Jul 19, 2005

Organization subpart

No

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

Authorized official

Name

Mr. Edward J. Smith

Title

President

Phone

(225) 216-3604

Specialties & licenses 4

Addresses

Other identifiers 1

Other names 1

• St. Clare Manor Doing business as

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Our Lady of the Lake Hospital, Inc.

  • Psychiatric Hospital Unit
  • Baton Rouge, LA
  • NPI 1164419198

  Member Of

  NPD member

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

{
    "created_epoch": "1121731200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1240272000000",
    "number": "1972502185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7435 BISHOP OTT DRIVE",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708068930",
            "telephone_number": "225-216-3604",
            "fax_number": "225-216-3746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7435 BISHOP OTT DRIVE",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708068930",
            "telephone_number": "225-216-3604",
            "fax_number": "225-216-3746"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLLIE STEELE BURDEN MANOR, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-19",
        "last_updated": "2009-04-21",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "225-216-3604",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "LA",
            "license": "718",
            "primary": true
        },
        {
            "code": "332BN1400X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Nursing Facility Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1520969",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "St. Clare Manor",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Meryn Olivier
• Roumay Olivier, CRNA
• Traci W Olivier, PSYD
• Grant Ollenburger
• Ollie Steele Burden Manor Inc
• Chiquita Ollie
• Temitope Olofin
• Gabrielle Bolner Olson, OT
• Jane J Olson, MD
• Jon D Olson, MD

• Skilled Nursing Facility in Baton Rouge, LA
• Providers in Baton Rouge, LA by specialty
• Skilled Nursing Facility in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2009; 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.