Organization Active NPI

Dementia Care, Inc.

  • Skilled Nursing Facility
  • Lake Charles, LA
National Provider Identifier
1992007462
Registry record updated Dec 3, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
747 Issued in LA
Legal business name
DEMENTIA CARE, INC.
Doing business as
the Gardens Assisted Living the Guardian House Total Alzheimers Living
Practice address
1401 Country Club Rd
Lake Charles, LA 70605-5321
Phone
(337) 480-1550
Fax
(337) 480-1341
NPI assigned
Dec 3, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2010

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

Authorized official

Name
Mr. Nealan J Rider
Title
President and Ceo
Phone
(337) 480-1550

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 747 LA Primary

Addresses

Primary practice location

1401 Country Club Rd
Lake Charles, LA 70605-5321

Mailing address

1401 Country Club Rd
Lake Charles, LA 70605-5321
Phone (337) 480-1550

Other names 1

  • the Gardens Assisted Living the Guardian House Total Alzheimers Living Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1291334400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1291334400000",
    "number": "1992007462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 COUNTRY CLUB RD",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706055321",
            "telephone_number": "337-480-1550",
            "fax_number": "337-480-1341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 COUNTRY CLUB RD",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706055321",
            "telephone_number": "337-480-1550",
            "fax_number": "337-480-1341"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEMENTIA CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-03",
        "last_updated": "2010-12-03",
        "status": "A",
        "authorized_official_last_name": "RIDER",
        "authorized_official_first_name": "NEALAN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT AND CEO",
        "authorized_official_telephone_number": "337-480-1550",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "LA",
            "license": "747",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "the Gardens Assisted Living the Guardian House Total Alzheimers Living",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lake Charles, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2010; 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.