Provider Demographics
NPI:1003192634
Name:ALLEN HEALTH CARE PARTNERS LLC
Entity Type:Organization
Organization Name:ALLEN HEALTH CARE PARTNERS LLC
Other - Org Name:ALLEN OAKS NURSING AND REHAB CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:RONDA
Authorized Official - Middle Name:LOU
Authorized Official - Last Name:MCNEAL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:318-443-9614
Mailing Address - Street 1:909 E 6TH AVE
Mailing Address - Street 2:
Mailing Address - City:OAKDALE
Mailing Address - State:LA
Mailing Address - Zip Code:71463-4101
Mailing Address - Country:US
Mailing Address - Phone:318-335-1469
Mailing Address - Fax:318-335-1466
Practice Address - Street 1:909 E 6TH AVE
Practice Address - Street 2:
Practice Address - City:OAKDALE
Practice Address - State:LA
Practice Address - Zip Code:71463-4101
Practice Address - Country:US
Practice Address - Phone:318-335-1469
Practice Address - Fax:318-335-1466
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-10-27
Last Update Date:2012-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA835314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA51048Medicaid
LA195584Medicare Oscar/Certification