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Hickory Manor Nursing & Rehabilitation Center, LLC

NPI 1992786024ActiveOrganization· Skilled Nursing Facility· Bastrop, LA

Skilled Nursing Facility in Bastrop, Louisiana, registered in NPPES in November 2005. The authorized official on file is Teddy Ray Price, Managing Member.

Overview

NPI1992786024
StatusActive
Entity typeOrganization
NPI issuedNov 7, 2005
Last updated in NPPESAug 22, 2020

Specialties and licenses

TaxonomyCodeLicenseState
Skilled Nursing Facility Primary314000000X196LA

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)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

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