VILLA FELICIANA MEDICAL COMPLEX (NPI# 1639228174) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639228174 |
| Entity Type | Organization |
| Organization Name | VILLA FELICIANA MEDICAL COMPLEX |
| Practice Address |
5002 Hwy 10 Jackson LA 70748 |
| Mailing Address |
5002 Highway 10 Jackson LA 70748-0438 |
| Practice Telephone | 2256344017 |
| Practice Fax Number | 2256344191 |
| Mailing Telephone | 2256344017 |
| Mailing Fax Number | 2256344191 |
| Enumeration Date | 2007-01-10 |
| Last Update Date | 2008-05-06 |
| Authorized Official Name | MR. JAMES R. O'REAR (LONG TERM CARE HOSPITAL ADMIN.) |
| Authorized Official Telephone | 2256344017 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282E00000X | Long Term Care Hospital | LA | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | HOSPITAL | 1734641 | 01 |
| LA | 1551465 | 05 | |
| LA | X-RAY | 5CK77 | 01 |
| LA | LAB | 118326 | 01 |
| LA | MEDICARE PART B | 5CF42 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356508667 | Villa Feliciana Medical Complex | Skilled Nursing Facility | 5002 Hwy 10, Jackson, LA 70748-0438 | 2008-05-22 |
| Street Address |
5002 HWY 10 |
| City | JACKSON |
| State | LA |
| Zip Code | 70748 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356508667 | Villa Feliciana Medical Complex | Skilled Nursing Facility | 5002 Hwy 10, Jackson, LA 70748-0438 | 2008-05-22 |
| 1942341714 | Billy Ray Register | Family Medicine | 5002 Hwy 10, Jackson, LA 70748-0438 | 2007-02-12 |
| 1306987821 | John Frederick Piker | Family Medicine | 5002 Hwy 10, Jackson, LA 70748 | 2007-02-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114380979 | Natashia Folse | Counselor | 3365 Market St., Jackson, LA 70748 | 2016-03-30 |
| 1457674368 | Charles Harold Martin | Social Worker | 4739 Hwy 10, Jackson, LA 70748 | 2010-03-05 |
| 1497966576 | Dahn Savell | Social Worker | 4502 Hwy. 10, Jackson, LA 70748 | 2007-05-24 |
| 1174732333 | Louisiana War Veterans Home | Skilled Nursing Facility | 4739 Highway 10, Jackson, LA 70748 | 2007-05-22 |
| 1043337538 | Gregory J Dolese | Pharmacist | 4052 Hwy 951, 200 Building, Jackson, LA 70748 | 2007-03-22 |
| 1609914902 | Waylon Morris Parker | Pediatrics | 5002 Highway 10, Villa Feliciana Medical Complex, Jackson, LA 70748 | 2007-02-01 |
| 1952453854 | Marcelita A Bermudez | Psychiatry & Neurology | 4502 Hwy 951, Jackson, LA 70748 | 2007-01-18 |
| 1457420879 | Feliciana Consultants, Inc. | Home Health | 3613 College Street, Jackson, LA 70748 | 2006-11-07 |
| 1073539300 | Patrick G Mccrossen | Dentist | 4502 Louisiana Hwy 951, Jackson, LA 70748 | 2006-07-13 |
| 1952808628 | Latasha Dinyel Shavers | Nurse Practitioner | 4502 Hwy 951, Jackson, LA 70748 | 2018-04-10 |
| Find all providers in zip 70748 | ||||
| Taxonomy Code | 282E00000X |
| Grouping | Hospitals |
| Classification | Long Term Care Hospital |
| Long-term care hospitals (LTCHs) furnish extended medical and rehabilitative care to individuals who are clinically complex and have multiple acute or chronic conditions. |
| Notes: Source: American Hospital Association [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255330163 | Select Specialty Hospital - Jackson Inc | Long Term Care Hospital | 5903 Ridgewood Rd, Jackson, MS 39211-3700 | 2005-07-21 |
| 1619326014 | Select Specialty Hospital - Belhaven, LLC | Long Term Care Hospital | 1225 N State St, Jackson, MS 39202-2064 | 2016-06-07 |
| 1407886146 | Mississippi Hospital for Restorative Care, Inc. | Long Term Care Hospital | 1225 N State St, Jackson, MS 39202-2064 | 2006-07-04 |
| 1851357925 | Regency Hospital of Jackson, LLC | Long Term Care Hospital | 969 Lakeland Dr, 6th Floor, Jackson, MS 39216-4606 | 2006-04-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033777479 | Northshore Extended Care Hospital, LLC | Long Term Care Hospital | 64030 La 434, Lacombe, LA 70445 | 2019-05-31 |
| 1528622065 | Intensive Specialty Hospital, LLC | Long Term Care Hospital | 1800 Irving Pl Ste 100, Shreveport, LA 71101-4608 | 2019-04-30 |
| 1639641764 | Bliant Specialty Hospital, LLC | Long Term Care Hospital | 14500 Hayne Blvd Ste 100, New Orleans, LA 70128-1751 | 2018-12-31 |
| 1881162337 | Bridgepoint Healthcare Louisiana LLC | Long Term Care Hospital | 4200 Houma Blvd Fl 5, Metairie, LA 70006-2970 | 2018-11-02 |
| 1902308349 | Curahealth New Orleans, LLC | Long Term Care Hospital | 1441 Lindberg Dr, Suite 150, Slidell, LA 70458-8056 | 2018-03-01 |
| 1861915415 | Integra Health Services Professional Corporation | Long Term Care Hospital | 1110 Ringgold Ave Ste B, Coushatta, LA 71019-9004 | 2017-07-25 |
| 1962924001 | Lhcg Cxx, LLC | Long Term Care Hospital | 3330 Masonic Dr Fl 4, Alexandria, LA 71301-3841 | 2017-07-11 |
| 1407207632 | Bridgepoint Healthcare Louisiana LLC | Long Term Care Hospital | 1101 Medical Center Blvd Fl 7, Marrero, LA 70072-3147 | 2016-06-29 |
| 1386016848 | 999999 | Long Term Care Hospital | 1013 N Causeway Blvd Ste 201, Metairie, LA 70001-4100 | 2015-10-23 |
| 1891015251 | Ebonyslacewigs | Long Term Care Hospital | 1790 Pratt Dr, New Orleans, LA 70122-2408 | 2010-06-08 |
| Find all providers with the same taxonomy | ||||
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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.