Active NPI
Bayou Rapides Rehab, LLC
- Adolescent and Children Mental Health Clinic/Center
- Alexandria, LA
National Provider Identifier
1003920414
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adolescent and Children Mental Health Clinic/Center
- Legal business name
- BAYOU RAPIDES REHAB, LLC
- Practice address
- 3620 Bayou Rapides Rd
Alexandria, LA 71303-3653 - Phone
- (318) 561-2010
- Fax
- (318) 561-0098
- NPI assigned
- Aug 19, 2006
- Last updated
- Aug 22, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Jodie Lincoln Roberts II, M.S.
- Title
- Director
- Phone
- (318) 561-2010
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adolescent and Children Mental Health Clinic/Center | 261QM0855X | NU | Primary |
Addresses
Primary practice location
3620 Bayou Rapides Rd
Alexandria, LA 71303-3653
Mailing address
PO Box 12368
Alexandria, LA 71315-2368
Phone (318) 561-2010
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1434507 | Medicaid | LA |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155945600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1003920414",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 12368",
"city": "ALEXANDRIA",
"state": "LA",
"postal_code": "713152368",
"telephone_number": "318-561-2010",
"fax_number": "318-561-0098"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3620 BAYOU RAPIDES RD",
"city": "ALEXANDRIA",
"state": "LA",
"postal_code": "713033653",
"telephone_number": "318-561-2010",
"fax_number": "318-561-0098"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BAYOU RAPIDES REHAB, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-19",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "ROBERTS",
"authorized_official_first_name": "JODIE",
"authorized_official_middle_name": "LINCOLN",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "318-561-2010",
"authorized_official_name_prefix": "Mr.",
"authorized_official_name_suffix": "II",
"authorized_official_credential": "M.S."
},
"taxonomies": [
{
"code": "261QM0855X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adolescent and Children Mental Health",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1434507",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Alexandria, LA
- Melinda S Bayonne, OT
- Bayou Healthcare LLC (Crossroads Regional Hospital)
- Bayou Healthcare, LLC (Crossroads Regional Hospital)
- Bayou Medical Equipment Corp
- Bayou Mental Health of Alexandria and Deridder
- Chasity Bazile
- Be Inspired Counseling & Consulting LLC (Be Inspired Counseling & Consulting)
- Beacon Behavioral Outpatient - Alexandria LLC
- Dejandra M Beal
- Rebecca Beaman
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.