Organization Active NPI

Louisiana Health and Rehab Center Inc

  • Community/Behavioral Health Agency
  • Baton Rouge, LA
National Provider Identifier
1013289974
Registry record updated Mar 31, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
494 Issued in LA
Legal business name
LOUISIANA HEALTH AND REHAB CENTER INC
Practice address
4255 E Brookstown Dr
Baton Rouge, LA 70805-4603
Phone
(225) 927-0770
Fax
(225) 927-0771
NPI assigned
Feb 7, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2016

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

Authorized official

Name
Soundra Temple Johnson
Title
Executive Director
Phone
(225) 231-2490

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 494 LA Primary

Addresses

Primary practice location

4255 E Brookstown Dr
Baton Rouge, LA 70805-4603

Mailing address

2121 Wooddale Blvd
Baton Rouge, LA 70806-1442
Phone (225) 231-2490

Other identifiers 1

IdentifierTypeStateIssuer
2118161MedicaidLA

National Provider Directory

National Provider Directory
Tax ID family
Louisiana Health and Rehab Center Inc12 organizations share this tax ID, including this one

Other organizations with this tax ID 11

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1328572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1459382400000",
    "number": "1013289974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2121 WOODDALE BLVD",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708061442",
            "telephone_number": "225-231-2490",
            "fax_number": "225-231-2775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4255 E BROOKSTOWN DR",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708054603",
            "telephone_number": "225-927-0770",
            "fax_number": "225-927-0771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOUISIANA HEALTH AND REHAB CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-07",
        "last_updated": "2016-03-31",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "SOUNDRA",
        "authorized_official_middle_name": "TEMPLE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "225-231-2490"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "LA",
            "license": "494",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2118161",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Baton Rouge, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2016; 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.