MEDICARE: M.MCGREGOR JONES HEALTH CARE CENTER, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	314000000X	Skilled Nursing Facility	979	LA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1326277922
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	M.MCGREGOR JONES HEALTH CARE CENTER, LLC

Provider Business Mailing Address
First Line	:	4201 WOODLAND DR
Second Line	:
City	:	NEW ORLEANS
State	:	LA
Zip	:	70131-7339
Country	:	US
Telephone Number	:	504-378-5050
Fax Number	:	504-378-5051

Provider Business Practice Location Address
First Line	:	4201 WOODLAND DR
Second Line	:
City	:	NEW ORLEANS
State	:	LA
Zip	:	70131-7339
Country	:	US
Telephone Number	:	504-378-5050
Fax Number	:	504-378-5051

Authorized Official
Title or Position	:	CEO
Name	:	MR. LAWRENCE E STANSBERRY III
Credential	:
Telephone Number	:	504-378-5050

Provider Enumeration Date	:	07/06/2009
Last Update Date	:	09/23/2010

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