PONCHATOULA NURSING HOME, LLC NPI 1003030800

Durable Medical Equipment & Medical Supplies in Hammond, LA

NPI 1003030800 Organization Durable Medical Equipment & Medical Supp...

About PONCHATOULA NURSING HOME, LLC

Ponchatoula Nursing Home, Llc is a provider established in Hammond, Louisiana specializing in durable medical equipment & medical supplies. The NPI number of Ponchatoula Nursing Home, Llc is 1003030800 and was assigned on April 2007. The practitioner's primary taxonomy code is 332B00000X. The provider is registered as an organization and their NPI record was last updated one year ago. The authorized official of this NPI record is Mr. Paul Guitreau (Owner)

NPI

1003030800

Provider NamePONCHATOULA NURSING HOME, LLC
Provider Location Address15704 MEDICAL ARTS DR HAMMOND, LA 70403
Provider Mailing AddressPO BOX 13524 ALEXANDRIA, LA 71315
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Enumeration Date04-12-2007
Last Update Date08-22-2020


Primary Taxonomy

Taxonomy Code332B00000X
ClassificationDurable Medical Equipment & Medical Supplies
TypeSuppliers
Taxonomy DescriptionA supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.

Business Address

PONCHATOULA NURSING HOME, LLC
15704 MEDICAL ARTS DR
HAMMOND, LA
ZIP 70403
Phone: (985) 542-0110

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Mailing Address

PONCHATOULA NURSING HOME, LLC
PO BOX 13524
ALEXANDRIA, LA
ZIP 71315
Phone: (318) 445-4477



Authorized Official

Authorized Official NameMR. PAUL GUITREAU
Authorized Official TitleOWNER
Authorized Official Phone(985) 542-0110

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
1163163MEDICAID (05)LA
34086OTHER (01)LA

Other Providers at the same location


The following 5 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1952351769DR. JAMES G MATRISCIANO M.D.
Individual
Internal Medicine15704 MEDICAL ARTS DR
HAMMOND, LA 70403
(985) 542-0110
1740761717BELLE MAISON HOLDINGS LLC
Organization
Skilled Nursing Facility15704 MEDICAL ARTS DR
HAMMOND, LA 70403
(985) 542-0110
1457838088BELLE MAISON NURSING & REHABILITATION CENTER LLC
Organization
Skilled Nursing Facility15704 MEDICAL ARTS DR
HAMMOND, LA 70403
(985) 542-0110
1780770719PONCHATOULA NURSING HOME, LLC
Organization
Skilled Nursing Facility15704 MEDICAL ARTS DR
HAMMOND, LA 70403
(985) 542-0110
1447823364 COURTNEY LEIGH MICHEL OTR/L
Individual
Occupational Therapist15704 MEDICAL ARTS DR
HAMMOND, LA 70403
(985) 542-0110

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.