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4405 Airline Drive Opco LLC

NPI 1437915477ActiveOrganization· Skilled Nursing Facility· Bossier City, LA

Skilled Nursing Facility in Bossier City, Louisiana, registered in NPPES in February 2024. The authorized official on file is Shlomo Mushell, Manager. Enrolled in Medicare as part a provider - skilled nursing facility.

Overview

NPI1437915477
StatusActive
Entity typeOrganization
NPI issuedFeb 27, 2024
Last updated in NPPESAug 23, 2024
Certified by providerAug 23, 2024

Specialties and licenses

TaxonomyCodeLicenseState
Skilled Nursing Facility Primary314000000X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Part A Provider - Skilled Nursing Facility (LA)

Medicare sources and data years

Other Skilled Nursing Facility providers in Bossier City

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