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Heritage Manor West Llc
Respite Care in Shreveport, Louisiana
NPI 1770541922

Heritage Manor West Llc is a Respite Care based in Shreveport, LA. Heritage Manor West Llc practices in Shreveport, LA. The NPI Number for Heritage Manor West Llc is 1770541922 and holds a License No. 2203782206 (Louisiana).

The current practice location address for Heritage Manor West Llc is 7060 Cotton Wood St, Shreveport, LA and can be reached out via phone at 318-631-1846 and via fax at 318-636-2824.

Location: 7060 Cotton Wood St, Shreveport, LA, 71129-2722
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1770541922
Provider Name
Heritage Manor West Llc
Credential
Provider Entity Type
Organization
Address
7060 Cotton Wood St, Shreveport, LA, 71129-2722
Phone Number
318-631-1846
Fax Number
318-636-2824
Provider Enumeration Date
05/03/2006
Last Update Date
03/12/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
1521493 05 LA
30406 01 BLUE CROSS BLUE SHIELD
institution
Provider Business Practice Location Address Details
Address
7060 Cotton Wood St
City
Shreveport
State
Louisiana
Zip
71129-2722
Phone Number
318-631-1846
Fax Number
318-636-2824
person
Provider Business Mailing Address Details
Address
7060 Cotton Wood St
City
Shreveport
State
Louisiana
Zip
71129-2722
Phone Number
318-631-1846
Fax Number
318-636-2824
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Skilled Nursing Facility
Speciality
-
Taxonomy
314000000X
License No.
2203782206 (Louisiana)
Definition
(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.
person
Provider's Taxonomy Details 2
Type
Respite Care Facility
Classification
Respite Care
Speciality
-
Taxonomy
385H00000X
License No.
2203782206 (Louisiana)
Definition
Definition to come.
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