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CARROLL NURSING HOME
NPI 1346463767
Durable Medical Equipment & Medical Supplies in Oak Grove, LA

Active since April 11, 2007CLIA 19D0881765 · Waiver
307 N CASTLEMAN STREET, OAK GROVE, LA 71263(318) 428-3249(318) 428-7547 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Carroll Nursing Home NPPES

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

CARROLL NURSING HOME (NPI 1346463767) is a healthcare organization registered as a durable medical equipment & medical supplies in Oak Grove, Louisiana and active in the NPI registry since April 2007. The organization holds a CLIA Waiver certificate valid through January 18, 2028 and lists Lisa Cox Reardon, Owner, as its authorized official.

NPPES Registry Identity

NPI1346463767
Entity TypeOrganization
Primary Taxonomy332B00000X
Legal Business NameCARROLL NURSING HOME
Location Address307 N CASTLEMAN STREETOak Grove, LA 71263
Mailing AddressPo Box 13524Alexandria, LA 71315-3524 · (800) 815-0586 · Fax (318) 445-9433
Phone(318) 428-3249
Fax(318) 428-7547
Organization SubpartNo
Authorized OfficialLisa Cox ReardonOwner · (318) 428-3249
Enumeration DateApril 11, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1346463767 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDurable Medical Equipment & Medical SuppliesSuppliers
Taxonomy Code332B00000X
License✔ Licensed in LA · 165
Definition
A 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.
307 N CASTLEMAN STREET, Oak Grove, LA 71263
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Other Identifiers 2

OtherF3410LA · Blue Cross Blue Shield
Medicaid1549304LA

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 19D0881765

Carroll Nursing Home · Oak Grove, LA
Active · expires Jan 18, 2028
CLIA Number19D0881765
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateJanuary 19, 2026
Certificate Expiration DateJanuary 18, 2028
Laboratory DirectorDeborah Mandeville, Rn, Don
Laboratory Phone(318) 428-3249
Laboratory LocationCarroll Nursing Home307 N Castleman Street, Oak Grove, LA 71263
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Carroll Nursing Home's NPI number?

The NPI number for Carroll Nursing Home is 1346463767. It was assigned to this organization in the NPPES registry on April 11, 2007.

Where is Carroll Nursing Home located?

Carroll Nursing Home is located at 307 N Castleman Street, Oak Grove, LA 71263. The listed phone number is (318) 428-3249.

What is Carroll Nursing Home's specialty?

The primary specialty registered for this NPI is Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.

Does Carroll Nursing Home hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 19D0881765) is associated with this NPI, valid through January 18, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Carroll Nursing Home was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.