COLONIAL MANOR GUEST HOUSE, LLC (NPI# 1114908308) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114908308 |
| Entity Type | Organization |
| Organization Name | COLONIAL MANOR GUEST HOUSE, LLC |
| Other Organization Name | COLONIAL MANOR GUEST HOUSE |
| Practice Address |
114 Whatley St Rayville LA 71269-3318 |
| Mailing Address |
Po Box 874 Rayville LA 71269-0874 |
| Practice Telephone | 3187283252 |
| Practice Fax Number | 3187286552 |
| Mailing Telephone | 3187283252 |
| Mailing Fax Number | 3187286552 |
| Enumeration Date | 2005-11-07 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. TEDDY RAY PRICE (MANAGING MEMBER) |
| Authorized Official Telephone | 3186284116 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | 233 | LA | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 1517151 | 05 |
| Other Name | Type Code |
|---|---|
| Colonial Manor Guest House | Doing Business As Name - Organization |
| Street Address |
114 WHATLEY ST |
| City | RAYVILLE |
| State | LA |
| Zip Code | 71269-3318 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679131932 | Kaila Jones | Speech-Language Pathologist | 114 Whatley St, Rayville, LA 71269-3318 | 2019-06-03 |
| 1780021220 | Walter Anthony Regana | Physical Therapist | 114 Whatley St, Rayville, LA 71269-3318 | 2013-05-23 |
| 1730203274 | Ashley Erin Morris | Occupational Therapist | 114 Whatley St, Rayville, LA 71269-3318 | 2007-03-19 |
| 1871663468 | Colonial Manor Nursing & Rehabilitation Center, LLC | Skilled Nursing Facility | 114 Whatley St, Rayville, LA 71269-3318 | 2006-11-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760089106 | Patricia Riley Mceacharn | Counselor | 161 Coumeaux Rd, Rayville, LA 71269 | 2020-10-08 |
| 1073122420 | Second Chances Recovery Center LLC | Substance Abuse Rehabilitation Facility | 161 Coumeaux Road, Rayville, LA 71269 | 2020-07-30 |
| 1518580901 | Carrie Hendrix Allen | Physical Therapist | 29 Clark Rd, Rayville, LA 71269 | 2020-05-20 |
| 1679056378 | Donnesha Martin | Case Manager/Care Coordinator | 114 Ineichen Street Suite A, Rayville, LA 71269 | 2018-09-10 |
| 1518474238 | Colonial Manor Nursing and Rehabilitation Home Inc | Skilled Nursing Facility | 307 Foster Street, Rayville, LA 71269 | 2018-01-03 |
| 1205294535 | Patricia S Johnson | Counselor | 114 Ineechen Street, Rayville, LA 71269 | 2016-02-01 |
| 1235423526 | Melissa Sears | Case Manager/Care Coordinator | 114 Ineichen St Ste A, Rayville, LA 71269 | 2011-06-03 |
| 1639484983 | W. Tyler Heath, D.m.d., Family Dentistry A Dent | Dentist | 1107 Louisa Street, Rayville, LA 71269 | 2010-08-11 |
| 1093996969 | Richardson Medical Center School Based Health Clinic | Clinic/Center | 155 Hwy 3048, Rayville, LA 71269 | 2007-11-20 |
| 1477761393 | Cookies Helping Hands | Technician | 1298 Hwy 861, Crowville, LA 71269 | 2007-05-21 |
| Find all providers in zip 71269 | ||||
| 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 |
|---|---|---|---|---|
| 1518474238 | Colonial Manor Nursing and Rehabilitation Home Inc | Skilled Nursing Facility | 307 Foster Street, Rayville, LA 71269 | 2018-01-03 |
| 1740346147 | Rayville Nursing & Rehabilitation Center, Inc. | Skilled Nursing Facility | 294 Hwy 3048, Rayville, LA 71269 | 2006-12-29 |
| 1871099424 | B and S Property Investments LLC | Skilled Nursing Facility | 307 Foster Street, Rayville, LA 71269 | 2018-04-03 |
| 1871663468 | Colonial Manor Nursing & Rehabilitation Center, LLC | Skilled Nursing Facility | 114 Whatley St, Rayville, LA 71269-3318 | 2006-11-09 |
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| 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 |
| 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 |
| 1578952727 | Triton Healthcare | Skilled Nursing Facility | 3212 38th St, Metairie, LA 70001-2802 | 2015-01-12 |
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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.