SHANNONDALE OF ALEXANDRIA, INC. (NPI# 1083722193) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083722193 |
| Entity Type | Organization |
| Organization Name | SHANNONDALE OF ALEXANDRIA, INC. |
| Other Organization Name | REGENCY HOUSE |
| Practice Address |
5131 Masonic Dr Alexandria LA 71301-3366 |
| Practice Telephone | 3184458343 |
| Practice Fax Number | 3184458527 |
| Mailing Telephone | 3184458343 |
| Mailing Fax Number | 3184458527 |
| Enumeration Date | 2006-08-28 |
| Last Update Date | 2008-12-02 |
| Authorized Official Name | MICHAEL R. HATHORN (NFA) |
| Authorized Official Telephone | 3184458343 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 313M00000X | Nursing Facility/Intermediate Care Facility | 456 | LA | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| REGENCY HOUSE | Doing Business As Name - Organization |
| Street Address |
5131 MASONIC DR |
| City | ALEXANDRIA |
| State | LA |
| Zip Code | 71301-3366 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609274349 | Steed Care LLC | Skilled Nursing Facility | 5131 Masonic Dr, Alexandria, LA 71301-3366 | 2014-12-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689217457 | Geaux Trans Transportation | Non-emergency Medical Transport (VAN) | 3101 Quail Court Apt A, Alexanadria, LA 71301 | 2019-10-23 |
| 1679115497 | Emily Belgard | Case Manager/Care Coordinator | 1715 Ashley Avenue, Suite A, Alexandria, LA 71301 | 2019-10-14 |
| 1316591878 | Leronisha Murphey | Technician | 1300 Jackson Street, Alexandria, LA 71301 | 2019-08-01 |
| 1144782996 | Ashley Billings | Student in an Organized Health Care Education/Training Program | 403 E 3rd Street Ste 3h, Family Medicine, Alexandria, LA 71301 | 2019-04-02 |
| 1740753110 | Maranda Trotti Voorhies | Nurse Practitioner | 501 Medical Center Dr. Suite 200, Alexandria, LA 71301 | 2019-01-08 |
| 1326565359 | Sheryl Ann Truman | Registered Nurse | 3224 Madonna Drive, Alexandria, LA 71301 | 2017-08-30 |
| 1770001620 | Casey Holts | Counselor | 5760 Goodland Trace, Alexandria, LA 71301 | 2017-08-30 |
| 1942735956 | Transforming Lives, Inc. | Community/Behavioral Health | 1428 Peterman Dr Ste A, Alexandria, LA 71301 | 2017-04-27 |
| 1790216703 | Johnnetta Rutledge | Counselor | 39 Kent Ave, Alexandria, LA 71301 | 2017-03-22 |
| 1104367788 | Clarissa Dione Pugh | Counselor | 23 Tennessee Ave, Alexandria, LA 71301 | 2017-03-15 |
| Find all providers in zip 71301 | ||||
| Taxonomy Code | 313M00000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Nursing Facility/Intermediate Care Facility |
| An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals. |
| Notes: Source: Paraphrased from Section 1919 (a) of the Social Security Act. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477835569 | Genesis Rehab Services | Nursing Facility/Intermediate Care Facility | 200 W Uhler Ter, Alexandria, VA 22301 | 2011-09-14 |
| 1437378908 | Louisiana Special Education Center | Nursing Facility/Intermediate Care Facility | 100 Pecan Loop, Alexandria, LA 71303-3753 | 2007-04-24 |
| 1497761175 | Mount Vernon Nursing Center Associates, Lllp | Nursing Facility/Intermediate Care Facility | 8111 Tis Well Dr, Alexandria, VA 22306-3211 | 2006-08-01 |
| 1952354086 | Alexandria Healthcare LLC | Nursing Facility/Intermediate Care Facility | 2200 Memorial Drive, Alexandria, LA 71301 | 2006-05-18 |
| 1801016670 | Virginia United Methodist Homes, Inc. | Nursing Facility/Intermediate Care Facility | 5000 Fairbanks Ave, Alexandria, VA 22311-1246 | 2007-04-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669929212 | Tender Care Adult Day Care | Nursing Facility/Intermediate Care Facility | 1501 Maura Pl, New Orleans, LA 70131-7912 | 2016-09-01 |
| 1780098798 | Royal Nursing Services, Inc | Nursing Facility/Intermediate Care Facility | 3510 Sugar Mill Rd, New Iberia, LA 70563-8621 | 2014-06-17 |
| 1376806430 | Youree Associates Inc. | Nursing Facility/Intermediate Care Facility | 5506 Camelot Dr, Shreveport, LA 71107-9558 | 2012-06-22 |
| 1538438015 | Tass Brain Injury Rehabilitation Center | Nursing Facility/Intermediate Care Facility | 42215 Pleasant Rg Ext, Ponchatoula, LA 70454-4723 | 2011-12-29 |
| 1497988380 | Opelousas Healthcare Properties LLC | Nursing Facility/Intermediate Care Facility | 7941 I-49 S Service Rd, Opelousas, LA 70570-9003 | 2009-08-26 |
| 1144463407 | Northridge Care Center LLC | Nursing Facility/Intermediate Care Facility | 3612 Baker Blvd, Baker, LA 70714-2513 | 2009-04-15 |
| 1457559023 | Paradise Adhc | Nursing Facility/Intermediate Care Facility | 2121 Dulles Rd, Lafayette, LA 70506 | 2007-07-05 |
| 1114123510 | Colette's Nursing & Healthcare | Nursing Facility/Intermediate Care Facility | 2100 3rd St, Suite#9, Kenner, LA 70062-7600 | 2007-06-22 |
| 1639383367 | Active Adult Day Healthcare LLC | Nursing Facility/Intermediate Care Facility | 333 E Prudhomme St, Opelousas, LA 70570-6490 | 2007-05-10 |
| 1043434715 | Association of Retarded Citizens of Evangeline, Inc | Nursing Facility/Intermediate Care Facility | 310 Northwest Railroad St, Ville Platte, LA 70586 | 2007-04-12 |
| Find all providers with the same taxonomy | ||||
| City | ALEXANDRIA |
| Zip Code | 71301 |
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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.