KELLEY DOEHRTY (NPI# 1760878797) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760878797 |
| Entity Type | Individual |
| Full Name | KELLEY DOEHRTY |
| Credential | LCOTA |
| Practice Address |
530 Stratmore Dr Shreveport LA 71115-3020 |
| Practice Telephone | 3187983510 |
| Mailing Telephone | 3187983510 |
| Enumeration Date | 2015-04-07 |
| Last Update Date | 2015-04-07 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | Z20635 | LA | Nursing & Custodial Care Facilities |
| Street Address |
530 STRATMORE DR |
| City | SHREVEPORT |
| State | LA |
| Zip Code | 71115-3020 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508805037 | Heritage Manor Stratmore Nursing & Rehabilitation Center LLC | Skilled Nursing Facility | 530 Stratmore Dr, Shreveport, LA 71115-3020 | 2006-06-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740829217 | Bno Surgical Consultants, LLC | Physician Assistant | 303 Captain Hm Shreve Blvd, Shreveport, LA 71115 | 2020-01-02 |
| 1902310899 | Islam LLC | General Acute Care Hospital | 9815 Paragon Ln, Shreveport, LA 71115 | 2017-11-30 |
| 1508304569 | Marcel White | Case Manager/Care Coordinator | 9050 Youree Dr, Apt 105, Shreveport, LA 71115 | 2017-02-09 |
| 1114392784 | Marilyn Sparks | Counselor | 9999 Smitherman Dr Apt 502, Shreveport, LA 71115 | 2015-12-08 |
| 1699031237 | Cody Tingle | Internal Medicine | 8001 Youree Dr Ste 400, Shreveport, LA 71115 | 2012-04-09 |
| 1629366885 | Pankaj Sharma | Psychiatry & Neurology | Department of Neurology, Lsuhsc Shreveport, 1501 Kings Highway, Shreveport, LA 71115 | 2011-07-21 |
| 1396914750 | Lisa L Jawahar | Radiologic Technologist | 429 Creek Holw, Shreveport, LOUISIANA 71115 | 2008-02-29 |
| 1720291412 | Larry Kenneth Robinson Jr. | Dentist | 8856 Youree Dr, Suite C, Shreveport, LA 71115 | 2007-05-08 |
| 1952471609 | Shining Star Professional Services Inc | Social Worker | 9050 Youree Drive, #1004, Shreveport, LA 71115 | 2006-11-09 |
| 1922178854 | Akee Lj Jackson | Social Worker | 9050 Youree Dr. #1004, Shreveport, LA 71115 | 2006-11-08 |
| Find all providers in zip 71115 | ||||
| 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 |
|---|---|---|---|---|
| 1861873770 | Booker Scc LLC | Skilled Nursing Facility | 7605 Line Ave, Shreveport, LA 71106-5162 | 2015-06-16 |
| 1073648853 | Booker T. Washington Guest Care Center, LLC | Skilled Nursing Facility | 7605 Line Ave., Shreveport, LA 71106-5162 | 2007-02-22 |
| 1275614497 | The Glen Retirement System | Skilled Nursing Facility | 1524 Glen Oak Pl, Shreveport, LA 71103-3816 | 2006-10-17 |
| 1417999780 | Shreveport Manor, LLC | Skilled Nursing Facility | 3302 Mansfield Rd, Shreveport, LA 71103-4106 | 2006-06-12 |
| 1609818046 | The Guest Care At Spring Lake, LLC | Skilled Nursing Facility | 8622 Line Ave, Shreveport, LA 71106-6108 | 2006-06-11 |
| 1073555652 | The Guest House LLC | Skilled Nursing Facility | 9225 Normandie Dr, Shreveport, LA 71118-3249 | 2006-06-11 |
| 1235179086 | Bradford Guest Care, LLC | Skilled Nursing Facility | 3050 Baird Rd, Shreveport, LA 71118-3818 | 2006-06-08 |
| 1619917432 | Multi-faith Retirement Services | Skilled Nursing Facility | 600 E Flournoy Lucas Rd, Shreveport, LA 71115-3855 | 2006-06-08 |
| 1508805037 | Heritage Manor Stratmore Nursing & Rehabilitation Center LLC | Skilled Nursing Facility | 530 Stratmore Dr, Shreveport, LA 71115-3020 | 2006-06-06 |
| 1144267451 | Willis Knighton Medical Center, Inc. | Skilled Nursing Facility | 2550 Kings Hwy, Shreveport, LA 71103-3922 | 2006-06-02 |
| Find all providers in SHREVEPORT | ||||
| City | SHREVEPORT |
| Zip Code | 71115 |
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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.