CHERRY RIDGE GUEST CARE, LLC (NPI# 1215977061) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215977061 |
| Entity Type | Organization |
| Organization Name | CHERRY RIDGE GUEST CARE, LLC |
| Practice Address |
5980 Cherry Ridge Rd Bastrop LA 71220-1842 |
| Mailing Address |
Po Box 52389 Shreveport LA 71135-2389 |
| Practice Telephone | 3182816933 |
| Practice Fax Number | 3182811734 |
| Mailing Telephone | 3187982648 |
| Mailing Fax Number | 3187983451 |
| Enumeration Date | 2006-06-08 |
| Last Update Date | 2010-08-27 |
| Authorized Official Name | MR. KEVIN C GAMBLE (OFFICER) |
| Authorized Official Telephone | 3187982648 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | 867 | LA | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 1515001 | 05 |
| Street Address |
5980 CHERRY RIDGE RD |
| City | BASTROP |
| State | LA |
| Zip Code | 71220-1842 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790061224 | Cherry Ridge Skilled Nursing Facility, LLC | Skilled Nursing Facility | 5980 Cherry Ridge Rd, Bastrop, LA 71220-1842 | 2011-10-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952935983 | Broken Wings Recovery Center, LLC | Substance Abuse Rehabilitation Facility | 2869 New Monroe Road, Bastrop, LA 71220 | 2020-02-28 |
| 1275002685 | Hulin Urgent Care Services, LLC | Clinic/Center | 2100 East Madison Avenue, Bastrop, LA 71220 | 2018-11-14 |
| 1023594975 | Shuntel Ramona Johnson | Counselor | 8891 Holley Farm Road, Bastrop, LA 71220 | 2018-07-13 |
| 1376050526 | Kevin Hubbard | Case Manager/Care Coordinator | 9409 Willow Dr, Bastrop, LA 71220 | 2018-01-09 |
| 1265957229 | Alma Holmes | Behavioral Analyst | 644 E. Jefferson Ave, Bastrop, LA 71220 | 2017-08-10 |
| 1427570886 | Jennifer Rochelle Glosson | Counselor | 410 S. Franklin St, Bastrop, LA 71220 | 2017-07-07 |
| 1386179307 | Total Divine Care LLC | Community/Behavioral Health | 1840 North Washington Street, Bastrop, LA 71220 | 2017-04-27 |
| 1538609524 | Tyrra Watkins | Counselor | 10599 Parkwood Dr, Bastrop, LA 71220 | 2017-02-24 |
| 1528502119 | Oatie Brooks | Counselor | 813 Mccreight Street, Bastrop, LA 71220 | 2016-12-15 |
| 1487197810 | Valencia Reese | Counselor | 10434 Boswell St, Bastrop, LA 71220 | 2016-12-03 |
| Find all providers in zip 71220 | ||||
| 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 |
|---|---|---|---|---|
| 1154442143 | Oakbend Medical Center | Skilled Nursing Facility | 400 Old Austin Hwy, Bastrop, TX 78602 | 2007-04-03 |
| 1265475164 | Hillview Nursing Home Inc | Skilled Nursing Facility | 650 Holt St, Bastrop, LA 71220-4061 | 2006-06-14 |
| 1992786024 | Hickory Manor Nursing & Rehabilitation Center, LLC | Skilled Nursing Facility | 370 W Hickory Ave, Bastrop, LA 71220-4442 | 2005-11-07 |
| 1922099381 | Summerlin Lane Nursing Home Inc | Skilled Nursing Facility | 1408 Summerlin Ln, Bastrop, LA 71220-2529 | 2005-11-03 |
| 1932195708 | Silver Pines Nursing and Rehabilitation Lp | Skilled Nursing Facility | 503 Old Austin Hwy, Bastrop, TX 78602-5016 | 2005-09-27 |
| 1588162390 | Smithville Hospital Authority | Skilled Nursing Facility | 503 Old Austin Hwy, Bastrop, TX 78602-5091 | 2018-01-26 |
| 1396145587 | Citizens Medical Center County of Victoria | Skilled Nursing Facility | 430 Old Austin Hwy, Bastrop, TX 78602-5168 | 2014-08-26 |
| 1154698280 | Lagniappe Healthcare LLC | Skilled Nursing Facility | 370 W Hickory Ave, Bastrop, LA 71220-4442 | 2011-11-17 |
| 1790061224 | Cherry Ridge Skilled Nursing Facility, LLC | Skilled Nursing Facility | 5980 Cherry Ridge Rd, Bastrop, LA 71220-1842 | 2011-10-28 |
| 1316262264 | Hickory Manor Skilled Nursing Facility, LLC | Skilled Nursing Facility | 370 W Hickory Ave, Bastrop, LA 71220-4442 | 2010-04-05 |
| Find all providers in BASTROP | ||||
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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.