Prestige Rehab

Primary specialty

Long Term Care HospitalTaxonomy code 282E00000X

Legal business name

PRESTIGE REHAB

Practice address

64030 Highway 434 FL 2
Lacombe, LA 70445-3456

Phone

(504) 210-3000

Fax

(504) 210-3006

NPI assigned

Jul 20, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Kimberly Bohne, LICENSED ADMINISTRAT

Title

Assistant Administrator

Phone

(504) 210-3000

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• St. Catherine Memorial Hospital Doing business as

Locations

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

{
    "created_epoch": "1153353600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1556236800000",
    "number": "1003836552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14500 HAYNE BLVD STE 100",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701281751",
            "telephone_number": "504-210-3000",
            "fax_number": "504-210-3006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "64030 HIGHWAY 434 FL 2",
            "city": "LACOMBE",
            "state": "LA",
            "postal_code": "704453456",
            "telephone_number": "504-210-3000",
            "fax_number": "504-210-3006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRESTIGE REHAB",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-20",
        "last_updated": "2019-04-26",
        "status": "A",
        "authorized_official_last_name": "BOHNE",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_title_or_position": "ASSISTANT ADMINISTRATOR",
        "authorized_official_telephone_number": "504-210-3000",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LICENSED ADMINISTRAT"
    },
    "taxonomies": [
        {
            "code": "282E00000X",
            "taxonomy_group": "",
            "desc": "Long Term Care Hospital",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "284300000X",
            "taxonomy_group": "",
            "desc": "Special Hospital",
            "state": "LA",
            "license": "412",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1766259",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA",
            "identifier": "19D0937727",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "St. Catherine Memorial Hospital",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "St. Catherine Memorial Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Paradigm Imaging, L.L.C.
• Meghan Elizabeth Paulsen
• PHS Medical LLC
• Jeffrey S Pinto, MD
• Victor Vincent Pouw, M.D.
• Professional Electrophysiological Medical Services
• Melissa Miceli Reed, RD
• Ashley Rhodes
• Kayla Roger, MS CCC-SLP
• Christopher Alan Sanchez, MD

• Long Term Care Hospital in Lacombe, LA
• Providers in Lacombe, LA by specialty
• Long Term Care Hospital in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2019; 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.