Healthcare Provider Details

I. General information

NPI: 1457382087
Provider Name (Legal Business Name): CHP PROPERTIES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/05/2006
Last Update Date: 06/27/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11546 FLORIDA BLVD
BATON ROUGE LA
70815
US

IV. Provider business mailing address

10615 JEFFERSON HWY
BATON ROUGE LA
70809-7230
US

V. Phone/Fax

Practice location:
  • Phone: 225-275-0474
  • Fax: 225-272-4930
Mailing address:
  • Phone: 225-769-2449
  • Fax: 225-757-1104

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number894
License Number StateLA

VIII. Authorized Official

Name: PATRICK THOMAS MITCHELL
Title or Position: MANAGING MEMBER
Credential:
Phone: 225-769-2449