Colonial Oaks Guest Care Center, Llc

LBN: Colonial Oaks Guest Care Center, Llc
Colonial Oaks Guest Care Center, Llc is an health care organization with primary practice located at 4921 Medical Dr , Bossier City LA 71112-4522. 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. Colonial Oaks Guest Care Center, Llc can be contacted via phone (318) 742-5420, or through Gamble, Kevin C via phone (318) 798-2648.

Contact Information

Primary practice address
4921 Medical Dr Bossier City LA 71112-4522
Fax: (318) 742-8887
Website:
Authorized official contact:
Name: Gamble, Kevin C

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 872 Louisiana

Profile Details

NPI number 1518909886
LBN Legal business name Colonial Oaks Guest Care Center, Llc
DBA Doing business as
Authorized official Gamble, Kevin C
Entity Organization
Organization subpart 1 No
Enumeration date Jun 12th, 2006
Last updated Aug 27th, 2010 - about 16 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 1518909886 NPPES
Louisiana MEDICAID 1510688

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