Healthcare Provider Details

I. General information

NPI: 1427030790
Provider Name (Legal Business Name): BELLE GRANDE NURSING & REHABILITATION CENTER LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/14/2005
Last Update Date: 12/22/2025
Certification Date: 12/22/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

172 VERSAILLES BLVD
ALEXANDRIA LA
71303
US

IV. Provider business mailing address

172 VERSAILLES BLVD
ALEXANDRIA LA
71303
US

V. Phone/Fax

Practice location:
  • Phone: 318-443-5638
  • Fax: 318-442-3118
Mailing address:
  • Phone: 318-443-5638
  • Fax: 318-442-3118

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number882
License Number StateLA

VIII. Authorized Official

Name: MR. TEDDY RAY PRICE
Title or Position: MANAGING MEMBER
Credential:
Phone: 318-628-4116