Provider Demographics
NPI:1457359531
Name:SOCIETIE DES DAMES HOSPITALIERES
Entity Type:Organization
Organization Name:SOCIETIE DES DAMES HOSPITALIERES
Other - Org Name:MAISON HOSPITALIERE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:DR
Authorized Official - First Name:ANDREW
Authorized Official - Middle Name:BRENT
Authorized Official - Last Name:SANDLER
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:504-524-4309
Mailing Address - Street 1:1220 DAUPHINE ST
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70116-2429
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1220 DAUPHINE ST
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70116-2429
Practice Address - Country:US
Practice Address - Phone:504-524-4309
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-07-12
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA53314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA195576Medicare ID - Type UnspecifiedPROVIDER #