PILGRIM MANOR GUEST CARE CENTER, LLC
NPI 1063454338
Skilled Nursing Facility in Bossier City, LA

Active since June 12, 2006
1524 DOCTORS DR, BOSSIER CITY, LA 71111(318) 742-1623(318) 742-2878 Get Directions Write a Review

NPPES record last updated: August 27, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Pilgrim Manor Guest Care Center, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PILGRIM MANOR GUEST CARE CENTER, LLC (NPI 1063454338) is a healthcare organization registered as a skilled nursing facility in Bossier City, Louisiana and active in the NPI registry since June 2006. The organization lists Kevin C Gamble, Officer, as its authorized official.

NPPES Registry Identity

NPI1063454338
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NamePILGRIM MANOR GUEST CARE CENTER, LLC
Location Address1524 DOCTORS DRBossier City, LA 71111-3322
Mailing AddressPo Box 52389Shreveport, LA 71135-2389 · (318) 798-2648 · Fax (318) 798-3451
Fax(318) 742-2878
Organization SubpartNo
Authorized OfficialKevin C GambleOfficer · (318) 798-2648
Enumeration DateJune 12, 2006
Last NPPES UpdateAugust 27, 2010
NPI 1063454338 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
License Licensed in LA · 873
Definition
(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.
1524 DOCTORS DR, Bossier City, LA 71111

Other Identifiers 2

Medicare ID-Type Unspecified195594LA · Provider Number
Medicaid1510696LA

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Family)
1524 DOCTORS DR
BOSSIER CITY, LA 71111
Physical Therapist
1524 DOCTORS DR
BOSSIER CITY, LA 71111
Skilled Nursing Facility
1524 DOCTORS DR
BOSSIER CITY, LA 71111
Skilled Nursing Facility
1524 DOCTORS DR
BOSSIER CITY, LA 71111

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Pilgrim Manor Guest Care Center, LLC's NPI number?

The NPI number for Pilgrim Manor Guest Care Center, LLC is 1063454338. It was assigned to this organization in the NPPES registry on June 12, 2006.

Where is Pilgrim Manor Guest Care Center, LLC located?

Pilgrim Manor Guest Care Center, LLC is located at 1524 Doctors Dr, Bossier City, LA 71111. The listed phone number is (318) 742-1623.

What is Pilgrim Manor Guest Care Center, LLC's specialty?

The primary specialty registered for this NPI is Skilled Nursing Facility with taxonomy code 314000000X.

When was this NPI record last updated?

The NPPES record for Pilgrim Manor Guest Care Center, LLC was last updated on August 27, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.