Organization Active NPI

Neurological Rehabilitation Living Centers of Louisiana

  • Rehabilitation Hospital
  • Covington, LA
National Provider Identifier
1003174830
Registry record updated Oct 2, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation HospitalTaxonomy code 283X00000X
License
003 Issued in LA
Legal business name
NEUROLOGICAL REHABILITATION LIVING CENTERS OF LOUISIANA
Practice address
614 W 18TH Ave
Covington, LA 70433-3063
Phone
(985) 875-3100
Fax
(985) 875-3103
NPI assigned
Apr 30, 2012
Organization subpart
Yes
Parent organization
NEUROLOGICAL REHABILITATION LIVING CENTERSAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 2, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ms. Christin Moses, B.S., CBIS, CCM
Title
Clinical Director
Phone
(985) 875-3100

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Developmental Disabilities Clinic/Center 261QD1600X 003 LA
Rehabilitation Clinic/Center 261QR0400X 003 LA
Rehabilitation Hospital 283X00000X 003 LA Primary

Addresses

Primary practice location

614 W 18TH Ave
Covington, LA 70433-3063

Mailing address

614 W 18TH Ave
Covington, LA 70433-3063
Phone (985) 875-3100

National Provider Directory

National Provider Directory
Part of
Voogt Rehablitation Center LLC

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1335744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1412208000000",
    "number": "1003174830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "614 W 18TH AVE",
            "city": "COVINGTON",
            "state": "LA",
            "postal_code": "704333063",
            "telephone_number": "985-875-3100",
            "fax_number": "985-875-3103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "614 W 18TH AVE",
            "city": "COVINGTON",
            "state": "LA",
            "postal_code": "704333063",
            "telephone_number": "985-875-3100",
            "fax_number": "985-875-3103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEUROLOGICAL REHABILITATION LIVING CENTERS OF LOUISIANA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NEUROLOGICAL REHABILITATION LIVING CENTERS",
        "enumeration_date": "2012-04-30",
        "last_updated": "2014-10-02",
        "status": "A",
        "authorized_official_last_name": "MOSES",
        "authorized_official_first_name": "CHRISTIN",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "985-875-3100",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "B.S., CBIS, CCM"
    },
    "taxonomies": [
        {
            "code": "261QD1600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Developmental Disabilities",
            "state": "LA",
            "license": "003",
            "primary": false
        },
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": "LA",
            "license": "003",
            "primary": false
        },
        {
            "code": "283X00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Hospital",
            "state": "LA",
            "license": "003",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Covington, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.