MARTIN DE PORRES NURSING HOME, INC (NPI# 1538159033) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538159033 |
| Entity Type | Organization |
| Organization Name | MARTIN DE PORRES NURSING HOME, INC |
| Practice Address |
200 Teal St Lake Charles LA 70615-6841 |
| Practice Telephone | 3374395761 |
| Practice Fax Number | 3374664788 |
| Mailing Telephone | 3374395761 |
| Mailing Fax Number | 3374334788 |
| Enumeration Date | 2005-10-26 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | BILL BREWER (ASSISTANT EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 3374395761 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | 231 | LA | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 1512303 | 05 |
| Street Address |
200 TEAL ST |
| City | LAKE CHARLES |
| State | LA |
| Zip Code | 70615-6841 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114102738 | St Martin Pfu, LLC | Skilled Nursing Facility | 200 Teal St, Lake Charles, LA 70615-6841 | 2008-01-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134648900 | Word of Hope | Nursing Care | 3975 East Prien Lake Rd, Lake Charles, LA 70615 | 2017-09-13 |
| 1275908725 | Ashley Jones | Counselor | 1716 Eleanor St., Lake Charles, LA 70615 | 2015-12-09 |
| 1669608097 | Consumer Advocacy and Resource Coordination, Inc. | Case Management | 902 Canvasback Street, Lake Charles, LA 70615 | 2009-05-29 |
| 1770796906 | Calcasieu Association for Retarded Citizens | Intermediate Care Facility, Mentally Retarded | 2412 Third Street, Lake Charles, LA 70615 | 2007-05-07 |
| 1376755454 | Christus Health Southwestern Louisiana | Clinic/Center | 2802 Pineview Street, Lake Charles, LA 70615 | 2007-05-03 |
| 1669981312 | Terri Williams | Registered Nurse | 3975 East Prien Lake Rd, Lake Charles (and Vicinity), LA 70615 | 2017-09-26 |
| 1053658328 | Upfront Urgent Care and Occupational Medicine | Clinic/Center | 1718 N Martin Luther King Hwy, Lake Charles, LA 70615 | 2013-01-07 |
| 1063726248 | Elisha Dianne Conner | Licensed Practical Nurse | 2915 Fitzenrieter Rd, Lake Charles, LA 70615-1314 | 2010-07-30 |
| 1790906493 | Jeannine Utzman Babineaux | Nurse Practitioner | 2802 Pineview St, Lake Charles, LA 70615-2063 | 2007-05-01 |
| 1174800569 | Hollie Steffens Donnelly | Nurse Practitioner | 2802 Pineview St, Lake Charles, LA 70615-2063 | 2011-11-14 |
| Find all providers in zip 70615 | ||||
| Taxonomy Code | 314000000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Skilled Nursing Facility |
| (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis. |
| Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992007462 | Dementia Care, Inc. | Skilled Nursing Facility | 1401 Country Club Rd, Lake Charles, LA 70605-5321 | 2010-12-03 |
| 1568514974 | Oak Park Health Care Center, LLC | Skilled Nursing Facility | 2335 Oak Park Blvd, Lake Charles, LA 70601-7970 | 2007-01-17 |
| 1518915453 | Kenter LLC | Skilled Nursing Facility | 1525 West Mcneese St, Lake Charles, LA 70605-4291 | 2006-05-04 |
| 1003897158 | Resthaven Nursing & Rehabilitation Center, LLC | Skilled Nursing Facility | 1103 W Mcneese St, Lake Charles, LA 70605-5431 | 2005-11-07 |
| 1598766941 | Diversified Health Care-lake Charles, LLC | Skilled Nursing Facility | 2701 Ernest St, Lake Charles, LA 70601-8406 | 2005-08-09 |
| 1861973489 | Jkj Opco LLC | Skilled Nursing Facility | 1401 Country Club Rd, Lake Charles, LA 70605-5321 | 2018-08-22 |
| 1902272438 | Ash Operator Group LLC | Skilled Nursing Facility | 1401 Country Club Rd, Lake Charles, LA 70605-5321 | 2015-08-19 |
| 1114102738 | St Martin Pfu, LLC | Skilled Nursing Facility | 200 Teal St, Lake Charles, LA 70615-6841 | 2008-01-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710464664 | Camelot of North Oaks LLC | Skilled Nursing Facility | 1560 Hwy 51, Ponchatoula, LA 70454-1560 | 2018-07-24 |
| 1730674557 | Louisiana Department of Health, Department of Health and Hospitals | Skilled Nursing Facility | 612 Henry Clay Ave., New Orleans, LA 70118 | 2018-06-25 |
| 1225534662 | Lhcg Xii, LLC | Skilled Nursing Facility | 2810 Ambassador Caffery Pkwy Fl 5, Lafayette, LA 70506-5906 | 2018-04-04 |
| 1518474238 | Colonial Manor Nursing and Rehabilitation Home Inc | Skilled Nursing Facility | 307 Foster Street, Rayville, LA 71269 | 2018-01-03 |
| 1962916726 | Mpd Operators Nazareth Hall LLC | Skilled Nursing Facility | 1905 N 7th St, West Monroe, LA 71291-4415 | 2017-11-30 |
| 1962934505 | Notre Dame Health System | Skilled Nursing Facility | 5600 General Degaulle Dr, New Orleans, LA 70131-7247 | 2017-04-02 |
| 1699225813 | Claiborne Operator Group LLC | Skilled Nursing Facility | 6942 Highway 79, Homer, LA 71040-2023 | 2016-10-12 |
| 1285180158 | Northshore Provider Group LLC | Skilled Nursing Facility | 48529 Red Fox Dr, Hammond, LA 70401-3715 | 2016-08-30 |
| 1518348259 | Ruston Scc LLC | Skilled Nursing Facility | 2401 N Service Rd E, Ruston, LA 71270-2342 | 2015-06-17 |
| 1861873770 | Booker Scc LLC | Skilled Nursing Facility | 7605 Line Ave, Shreveport, LA 71106-5162 | 2015-06-16 |
| Find all providers with the same taxonomy | ||||
| City | LAKE CHARLES |
| Zip Code | 70615 |
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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.