CARROLL NURSING HOME (NPI# 1346463767) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346463767 |
| Entity Type | Organization |
| Organization Name | CARROLL NURSING HOME |
| Practice Address |
307 N Castleman Street Oak Grove LA 71263 |
| Mailing Address |
Po Box 13524 Alexandria LA 71315-3524 |
| Practice Telephone | 3184283249 |
| Practice Fax Number | 3184287547 |
| Mailing Telephone | 8008150586 |
| Mailing Fax Number | 3184459433 |
| Enumeration Date | 2007-04-11 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MRS. LISA COX REARDON (OWNER) |
| Authorized Official Telephone | 3184283249 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | 165 | LA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | BLUE CROSS BLUE SHIELD | F3410 | 01 |
| LA | 1549304 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740268739 | Carroll Nursing Home | Nursing Facility/Intermediate Care Facility | 307 N. Castleman St, Oak Grove, LA 71263 | 2006-01-09 |
| Street Address |
307 N CASTLEMAN STREET |
| City | OAK GROVE |
| State | LA |
| Zip Code | 71263 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942850284 | Melba West | Technician | Melba West, 9192 Hwy 585, Oak Grove, LA 71263 | 2019-09-18 |
| 1972975225 | Healing Life Health Center LLC | Community/Behavioral Health | 602 South Constitution Avenue, Oak Grove, LA 71263 | 2015-10-27 |
| 1306193701 | Jeremy David Rawls | Chiropractor | 212 N Front St, Oak Grove, LA 71263 | 2012-08-06 |
| 1538358569 | West Carroll Arc | Day Training, Developmentally Disabled Services | 611 West Jefferson, Oak Grove, LA 71263 | 2007-10-16 |
| 1477750842 | West Carroll Arc | Day Training, Developmentally Disabled Services | 611 West Jefferson St, Oak Grove, LA 71263 | 2007-06-29 |
| 1376670059 | Karla Welch Robertson | Dentist | 414 Ross St., Oak Grove, LA 71263 | 2007-02-28 |
| 1669529111 | Northstar,tlc Inc. | Durable Medical Equipment & Medical Supplies | 212 E. Jefferson, Oakgrove, LA 71263 | 2007-01-05 |
| 1265500490 | Mark Anthony Portacci | Family Medicine | 706 Ross Street, Oak Grove, LA 71263 | 2006-12-04 |
| 1740268739 | Carroll Nursing Home | Nursing Facility/Intermediate Care Facility | 307 N. Castleman St, Oak Grove, LA 71263 | 2006-01-09 |
| 1790936953 | Misty L Ellerbe | Physician Assistant | 706 Ross Street, Oak Grove, LA 71263 | 2008-10-07 |
| Find all providers in zip 71263 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366859803 | Air Affiliates, Inc. | Durable Medical Equipment & Medical Supplies | 175 Stateline Rd Ste R-4, Oak Grove, KY 42262-8288 | 2014-07-16 |
| 1366520967 | Red Cross Pharmacy, Inc. | Durable Medical Equipment & Medical Supplies | 300 Se Salem St, Oak Grove, MO 64075-9299 | 2006-11-01 |
| 1023035383 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 201 Se Salem St, Oak Grove, MO 64075-9284 | 2006-07-16 |
| 1790702041 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 705 S Constitution Ave, Oak Grove, LA 71263-9095 | 2006-07-16 |
| 1891712139 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 14800 Fort Campbell Blvd, Oak Grove, KY 42262-8304 | 2006-07-16 |
| 1518120146 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 400 S Broadway, Oak Grove, MO 64075-6140 | 2008-07-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922612555 | Jill Covington Johnson | Durable Medical Equipment & Medical Supplies | 17098 W Willow Dr, Prairieville, LA 70769-4180 | 2020-09-01 |
| 1093325854 | Morning Star Medical | Durable Medical Equipment & Medical Supplies | 456 W 61st St, Shreveport, LA 71106-2511 | 2020-08-06 |
| 1386253300 | Michele Burmaster | Durable Medical Equipment & Medical Supplies | 68467 Highway 59 Ste 1, Mandeville, LA 70471-7786 | 2020-07-27 |
| 1619593308 | Preference Medical | Durable Medical Equipment & Medical Supplies | 105 Beech St, Covington, LA 70433-6214 | 2020-06-18 |
| 1871116095 | Tina Mayo Womack | Durable Medical Equipment & Medical Supplies | 18017 Glen Park Dr, Baton Rouge, LA 70817-9583 | 2020-05-21 |
| 1043832843 | Arkla Ramps, LLC | Durable Medical Equipment & Medical Supplies | 13522 S Choctaw Dr Ste 103, Baton Rouge, LA 70815-2819 | 2020-05-14 |
| 1083236053 | Factor- A | Durable Medical Equipment & Medical Supplies | 1200 Camellia Blvd Ste 400, Lafayette, LA 70508-6163 | 2020-05-13 |
| 1730718057 | Megan Mcsweeney Colosino | Durable Medical Equipment & Medical Supplies | 22 Plover St, New Orleans, LA 70124-4408 | 2020-04-07 |
| 1669001640 | Magnolia Healthcare Pa LLC | Durable Medical Equipment & Medical Supplies | 2519 N 7th St Ste 4, West Monroe, LA 71291-5170 | 2020-04-02 |
| 1558992966 | Summit South Dme, LLC | Durable Medical Equipment & Medical Supplies | 9357 Interline Ave, Baton Rouge, LA 70809-1910 | 2020-02-04 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.