Provider Demographics
NPI:1548208101
Name:STERLING PLACE, LLC
Entity Type:Organization
Organization Name:STERLING PLACE, LLC
Other - Org Name:CENTRAL GUEST HOUSE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CONTROLLER
Authorized Official - Prefix:
Authorized Official - First Name:KIMBERLY
Authorized Official - Middle Name:WALL
Authorized Official - Last Name:DELATTE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:225-664-6697
Mailing Address - Street 1:3888 NORTH BLVD
Mailing Address - Street 2:
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70806-3824
Mailing Address - Country:US
Mailing Address - Phone:225-344-3551
Mailing Address - Fax:225-344-1088
Practice Address - Street 1:10748 JOOR RD
Practice Address - Street 2:
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70818-3907
Practice Address - Country:US
Practice Address - Phone:225-416-6006
Practice Address - Fax:225-465-8775
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-03
Last Update Date:2023-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA806314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1516767Medicaid
LA1516767Medicaid