# POYDRAS HOME

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1770821522
- **Authorized official:** MR. JOHN S. RIVE', JR. MBA, NFA (CHIEF EXECUTIVE OFFICER)
- **Authorized official phone:** (504) 897-0535

## Contact information

- **Practice address:** 5354 MAGAZINE STREET, NEW ORLEANS, LA 70115
- **Practice address phone:** (504) 897-0535
- **Practice address fax:** (504) 897-9494
- **Mailing address:** 5354 MAGAZINE STREET, NEW ORLEANS, LA 70115
- **Mailing address phone:** (504) 897-0535
- **Mailing address fax:** (504) 897-9494

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 310400000X | Assisted Living Facility | — | — | — |
| 311500000X | Alzheimer Center (Dementia Center) | — | — | — |
| 314000000X | Skilled Nursing Facility | 142 | LA | Yes |

## Other

- **Enumeration date:** 01/29/2013
- **Last updated:** 01/29/2013