Red River Center Llc in Shreveport - Skilled Nursing Facility
Red River Center Llc - NPI 1487650198
Red River Center Llc is a Skilled Nursing Facility in Shreveport, Louisiana. Red River Center Llc practices all healthcare services and medical treatments related to Skilled Nursing Facility. The NPI Number for Red River Center Llc is 1487650198. The last update date is 2018-08-17.
Red River Center Llc's current location address is 3405 Mansfield Rd, Shreveport, Louisiana. You can contact this provider via phone number 3182223100 and fax number 3182223930. The mailing address for Red River Center Llc is 3405 Mansfield Rd, Shreveport, Louisiana. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Red River Center Llc |
|---|---|
| Address | 3405 Mansfield Rd, Shreveport, Louisiana |
| Phone Number | 3182223100 |
| Fax Number | 3182223930 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | ADMINISTRA |
|---|---|
| Authorized Official Name | Killian Neal Edward |
| Telephone Number | 3182223100 |
NPI Number Detail
| NPI Number | 1487650198 |
|---|---|
| Provider Enumeration Date | 2005-06-27 |
| Last Updated Date | 2018-08-17 |
Provider Mailing Address Detail
| Address | 3405 Mansfield Rd |
|---|---|
| City | Shreveport |
| State | Louisiana (LA) |
| Post Code | 711034107 |
| Phone Number | 3182223100 |
| Fax Number | 3182223930 |
Provider's Primary Taxonomy Detail
| Speciality | Skilled Nursing Facility |
|---|---|
| Taxonomy | 314000000X |
| Licence No | 701 |
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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 serv |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1520713 | LA | -- | |
| 3592138 | LA | UNEMPLOYMENT INS. |
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What is the unique 10-digit identifier code issued to Red River Center Llc by the Centers for Medicare & Medicaid Services?
The Red River Center Llc has been assigned the NPI (National Provider Identifier) 1487650198 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Where is the Red River Center Llc located?
The Red River Center Llc is located at 3405 Mansfield Rd, Shreveport, LA 711034107.
What is Red River Center Llc's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Red River Center Llc is Skilled Nursing Facility, and the taxonomy classification code that categorizes this area of expertise is 314000000X.
On what date did the Red River Center Llc receive its 1487650198 assignment from the Centers for Medicare & Medicaid Services?
The Red River Center Llc was assigned its 1487650198 by the Centers for Medicare & Medicaid Services on 2005-06-27.
As of what date was the information pertaining to Red River Center Llc, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Red River Center Llc, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2018-08-17.
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