# TANGI PINES SENIOR CARE, L.L.C

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Tangi Pines Nursing Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1902250129
- **Authorized official:** MR. KALEY W HILL (ADMINISTRATOR)
- **Authorized official phone:** (985) 748-9464

## Contact information

- **Practice address:** 709 E NORTH PL, AMITE, LA 70422-2307
- **Practice address phone:** (985) 748-9464
- **Practice address fax:** (985) 748-4404
- **Mailing address:** 10746 HWY 16, AMITE, LA 70422
- **Mailing address phone:** (985) 748-9464
- **Mailing address fax:** (985) 748-4404

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 834 | LA | Yes |

## Other

- **Enumeration date:** 04/14/2016
- **Last updated:** 10/03/2021

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 834 | DHH LICENSE | LA |