THE BLAKE AT BOSSIER CITY OPERATING CO LLC (NPI# 1659923100) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659923100 |
| Entity Type | Organization |
| Organization Name | THE BLAKE AT BOSSIER CITY OPERATING CO LLC |
| Practice Address |
2000 Blake Blvd Bossier City LA 71111-2232 |
| Practice Telephone | 3187526611 |
| Practice Fax Number | 3184156411 |
| Mailing Telephone | 3187526611 |
| Mailing Fax Number | 3184156411 |
| Enumeration Date | 2019-07-15 |
| Last Update Date | 2019-07-15 |
| Authorized Official Name | RENEE MATHENY (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 3187526611 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| The Blake at Bossier City | Other Name - Individual/Organization |
| Street Address |
2000 BLAKE BLVD |
| City | BOSSIER CITY |
| State | LA |
| Zip Code | 71111-2232 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780939645 | Laura Caraway | Physical Therapist | 2000 Blake Blvd, Bossier City, LA 71111-2191 | 2012-07-17 |
| 1275025488 | Louisiana Physical Therapy Services of Bossier City, LLC | Occupational Therapist | 2000 Blake Blvd, Bossier City, LA 71111-2191 | 2018-06-04 |
| 1427480573 | Bradley Kent Moore | Physical Therapist | 2000 Blake Blvd, Bossier City, LA 71111-2232 | 2013-07-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669007951 | Tamara 'tammy' Larck | Counselor | 1525 Fullilove Drive, Shreveport, LA 71111 | 2020-03-06 |
| 1912538315 | Lagniappe Chiropractic | Chiropractor | 2400 Airline Drive, Bossier City, LA 71111 | 2020-02-04 |
| 1649817420 | Lifecare Medical Transportation, LLC. | Non-emergency Medical Transport (VAN) | 25 Duck Haven Pointe, Bossier City, LA 71111 | 2019-11-29 |
| 1770126344 | Bertresea White Evans | Nurse Practitioner | Coastal Urgernt Care, 5314 Airline Drive, Bossier City, LA 71111 | 2019-10-25 |
| 1861964058 | Erika Davis Reed | Counselor | 1515 Doctors Dr # 16, Bossier City, LA 71111 | 2018-12-28 |
| 1518436898 | Charlotte Mckay | Case Manager/Care Coordinator | 31330 Hwy 22, Ste 101, Bossier City, LA 71111 | 2018-11-16 |
| 1992271464 | Np2u, LLC | Nurse Practitioner | 2008 Airline Drive Suite 300 #194, Bossier City, LA 71111 | 2018-10-22 |
| 1114416542 | Lashaunda Autrey | Counselor | 410 Half Moon Lane, Bossier, LA 71111 | 2018-05-01 |
| 1750887196 | Shenya Williams-pennywell | Counselor | 1007 Gould Drive Bldg 2, Suite 1, Bossier City, LA 71111 | 2018-04-04 |
| 1336647304 | Patrick Vance | Physical Therapist | 5000 Benton Rd Ste 1, Bossier City, LA 71111 | 2018-01-24 |
| Find all providers in zip 71111 | ||||
| Taxonomy Code | 310400000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Assisted Living Facility |
| A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174138721 | Monroe Assisted Care Center Lc | Assisted Living Facility | 2299 Sterlington Rd, Monroe, LA 71203-3032 | 2020-09-10 |
| 1063026102 | Kesjan Assisted Living Care | Assisted Living Facility | 350 Desiard Plaza Dr Ste 117, Monroe, LA 71203-4959 | 2020-09-05 |
| 1043553894 | Markita Washington | Assisted Living Facility | 920 Tampa St, Tallulah, LA 71282-5040 | 2013-03-30 |
| 1770821522 | Poydras Home | Assisted Living Facility | 5354 Magazine Street, New Orleans, LA 70115 | 2013-01-29 |
| 1396038667 | Louisiana Guest House, LLC | Assisted Living Facility | 418 Albertson Pkwy, Broussard, LA 70518-4971 | 2011-05-19 |
| 1578854006 | Quality Care Nursing | Assisted Living Facility | 740 Fred Loop, Alexandria, LA 71302-5739 | 2011-05-02 |
| 1528228715 | Graceful Care Service | Assisted Living Facility | 1019 Cazo Rd, Ville Platte, LA 70586-6361 | 2008-06-11 |
| 1700052958 | Geriatric Resources, Inc | Assisted Living Facility | 4045 Ernest St, Lake Charles, LA 70605-3421 | 2008-05-07 |
| 1043480981 | Almor Enterprises Extended Services | Assisted Living Facility | 830 Mckeithen Dr, Alexandria, LA 71303-9770 | 2008-03-06 |
| 1326235649 | Assisted Living Concepts Inc | Assisted Living Facility | 1163 Museum Drive, Houma, LA 70360 | 2007-10-01 |
| Find all providers with the same taxonomy | ||||
| City | BOSSIER CITY |
| Zip Code | 71111 |
Please comment or provide details below to improve the information on THE BLAKE AT BOSSIER CITY OPERATING CO LLC.
| 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.