Heritage Manor Of Bossier

LBN: Bossier Healthcare Llc
Heritage Manor Of Bossier is an health care organization with primary practice located at 2575 Airline Dr , Bossier City LA 71111-5812. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Skilled Nursing Facility, which is considered as the primary health care specialty. Bossier Healthcare Llc can be contacted via phone (318) 746-7466, or through Ussery, Kenneth via phone (407) 571-1550.

Contact Information

Primary practice address
2575 Airline Dr Bossier City LA 71111-5812
Phone: (318) 746-7466
Fax: (318) 747-0014
Website:
Map and Directions
Authorized official contact:
Name: Ussery, Kenneth
Phone: (407) 571-1550

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 877 Louisiana

Profile Details

NPI number 1639126873
LBN Legal business name Bossier Healthcare Llc
DBA Doing business as Heritage Manor Of Bossier
Authorized official Ussery, Kenneth
Entity Organization
Organization subpart 1 No
Enumeration date May 30th, 2006
Last updated Nov 27th, 2023 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1639126873 NPPES
Louisiana MEDICAID 1510823

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