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NPI Code Detail

MEDICARE: TANGI PINES SENIOR CARE, L.L.C

MEDICARE: TANGI PINES SENIOR CARE, L.L.C
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
1314000000XSkilled Nursing Facility834LA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1834OTHERLADHH LICENSE

General Provider Information

NPI Number : 1902250129
Entity Type Code : Organization
Provider Name (Legal Business Name) : TANGI PINES SENIOR CARE, L.L.C
Provider Business Mailing Address
First Line : 10746 HWY 16
Second Line :
City : AMITE
State : LA
Zip : 70422
Country : US
Telephone Number : 985-748-9464
Fax Number : 985-748-4404
Provider Business Practice Location Address
First Line : 709 E NORTH PL
Second Line :
City : AMITE
State : LA
Zip : 70422-2307
Country : US
Telephone Number : 985-748-9464
Fax Number : 985-748-4404
Authorized Official
Title or Position : ADMINISTRATOR
Name : MR. KALEY W HILL
Credential :
Telephone Number : 985-748-9464
Provider Enumeration Date : 04/14/2016
Last Update Date : 10/03/2021

Similar Medicare Providers

1740277003 — TANGI PINES NURSING CENTER LLC
Practice Location Address:
709 E NORTH PL
AMITE, LA
70422-2307
Practice Phone: 985-748-9464
Practice Fax: 985-748-4404
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1841038056 — NICOLE KING CIT
Practice Location Address:
709 E NORTH PL
AMITE, LA
70422-2307
Practice Phone: 985-289-5264
Practice Fax:
1801628144 — JOSEPH SCHWARTZ
Practice Location Address:
709 E NORTH PL
AMITE, LA
70422-2307
Practice Phone: 985-289-5264
Practice Fax:
1396742698 — R HUNTER BOND O.D.
Practice Location Address:
60007 WEST WAY DRIVE
AMITE, LA
70422
Practice Phone: 985-748-8096
Practice Fax: 985-748-4376

Directions to “TANGI PINES SENIOR CARE, L.L.C ” Practice Location

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