Active NPI
Dementia Care, Inc.
- Skilled Nursing Facility
- Lake Charles, LA
National Provider Identifier
1992007462
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 747
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryNPI 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.