Cherry Ridge Skilled Nursing Facility, Llc

LBN: Cherry Ridge Skilled Nursing Facility, Llc
Cherry Ridge Skilled Nursing Facility, Llc is an health care organization with primary practice located at 5980 Cherry Ridge Rd , Bastrop LA 71220-1842. 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. Cherry Ridge Skilled Nursing Facility, Llc can be contacted via phone (318) 281-6933, or through Gladney, Charles Goodwin via phone (318) 281-0078.

Contact Information

Primary practice address
5980 Cherry Ridge Rd Bastrop LA 71220-1842
Phone: (318) 281-6933
Fax: (318) 281-1734
Website:
Map and Directions
Authorized official contact:
Name: Gladney, Charles Goodwin
Phone: (318) 281-0078

Health care specialties

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

Profile Details

NPI number 1790061224
LBN Legal business name Cherry Ridge Skilled Nursing Facility, Llc
DBA Doing business as
Authorized official Gladney, Charles Goodwin
Entity Organization
Organization subpart 1 No
Enumeration date Oct 28th, 2011
Last updated Nov 3rd, 2011 - about 15 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 1790061224 NPPES
Louisiana MEDICAID 1515001

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