Heritage Manor West

LBN: Heritage Manor West Llc
Heritage Manor West is an health care organization with primary practice located at 7060 Cotton Wood St , Shreveport LA 71129-2722. The organization recently has 2 registered licenses in different health care specialties including Nursing & Custodial Care Facilities / Skilled Nursing Facility, Respite Care Facility / Respite Care. Nursing & Custodial Care Facilities / Skilled Nursing Facility is the primary health care specialty. Heritage Manor West Llc can be contacted via phone (318) 631-1846, or through Parkinson, Toni via phone 60170914708.

Contact Information

Primary practice address
7060 Cotton Wood St Shreveport LA 71129-2722
Phone: (318) 631-1846
Fax: (318) 636-2824
Website:
Map and Directions
Authorized official contact:
Name: Parkinson, Toni
Phone: 60170914708

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 2203782206 Louisiana
Respite Care Facility / Respite Care 385H00000X 2203782206 Louisiana

Profile Details

NPI number 1770541922
LBN Legal business name Heritage Manor West Llc
DBA Doing business as Heritage Manor West
Authorized official Parkinson, Toni
Entity Organization
Organization subpart 1 No
Enumeration date May 3rd, 2006
Last updated Jun 22nd, 2015 - about 11 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 1770541922 NPPES
Louisiana MEDICAID 1521493
Louisiana Other 30406

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