NSR Louisiana, LLC
Organization Active NPI Rehabilitation Hospital · Lacombe, LA
NPI 1013470038 · NPPES record last updated Sep 10, 2025
Key facts
- NPI
- 1013470038
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Rehabilitation Hospital 283X00000X
- Legal business name
- NSR LOUISIANA, LLC
- Practice address
- 64030 Highway 434
Lacombe, LA 70445-3456 - Phone
- (985) 218-4660
- NPI assigned
- Apr 8, 2019
- Organization subpart
- No
Authorized official
- Name
- John Duggan
- Title
- VP
- Phone
- (717) 972-1100
Owners & managing parties with NPI records 11
Member of 4
Facilities with the same owner 205
Practitioners 3
-
Stephen P Moran, M.D.
-
Gollamudi H Reddy I, M.D.
-
Laurel Dupont, PT
Affiliated clinicians 5
-
Stephen P Moran, M.D.
-
Sindhu Pandit, MD
-
Nidhi Purohit, MD
-
Gollamudi H Reddy I, M.D.
-
Suzanne Troup Duncan, M.D., M.A.
Medicare Care Compare: Inpatient rehabilitation facility
- Listed as
- North Shore Rehabilitation Hospital
- Ownership
- For profit
- Certified
- Oct 21, 2019
- Medicare certification status
- Active
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 19D2166576 | NSR Louisiana LLC | Certificate of waiver | May 20, 2027 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in LA
Hospital certification: CCN 713025
- Legal name
- NSR LOUISIANA LLC
- Doing business as
- NORTH SHORE REHABILITATION HOSPITAL
- Certification status
- Active
- Provider type (POS)
- Hospital – Rehabilitation
- Participating since
- Oct 21, 2019
- Last certification
- May 12, 2023
- Beds
- 30
- Ownership / control type
- Private (for profit)
- Organization structure
- LLC · Proprietary
- Incorporated
- Aug 2, 2018 in LA
- Enrollment address
- 64030 Highway 434
1St and 2ND Floors of the Tower
Lacombe, LA 70445-3407 - Hospital subgroups
- Rehabilitation
All disclosed owners & managing parties 13
| Name | Role | Since | Share |
|---|---|---|---|
| Hospital Holdings Corporation |
5% Or Greater Direct Ownership Interest | Sep 6, 2019 | 10% |
| 5% Or Greater Indirect Ownership Interest | Sep 6, 2019 | 100% | |
| St Tammany Parish Hospital Service District No 1 |
5% Or Greater Direct Ownership Interest | Sep 6, 2019 | 30% |
| Slidell Memorial Hospital |
5% Or Greater Direct Ownership Interest | Sep 6, 2019 | 30% |
| Select Medical Corporation |
5% Or Greater Indirect Ownership Interest | Sep 6, 2019 | 100% |
| Operational/Managerial Control | Sep 6, 2019 | 100% | |
| Thomas Mullin |
Corporate Officer | Aug 18, 2025 | |
| John Saich |
Corporate Officer | Sep 4, 2025 | |
| Laurel Dupont |
Corporate Officer |
Sep 6, 2019 | |
| W-2 Managing Employee |
Sep 6, 2019 | ||
| Operational/Managerial Control |
Sep 6, 2019 | ||
| Robert Breighner |
W-2 Managing Employee |
Sep 4, 2025 | |
| Ochsner Clinic Foundation |
5% Or Greater Direct Ownership Interest | Sep 6, 2019 | 30% |
| Select Specialty Hospitals Inc |
5% Or Greater Indirect Ownership Interest | Jan 1, 2023 | 100% |
| Michael Malatesta |
Corporate Officer | Aug 18, 2025 | |
| Robert Kido |
Corporate Officer | Sep 4, 2025 | |
| John Duggan |
Corporate Officer | Sep 6, 2019 | |
| Corporate Director | Sep 4, 2025 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20190627000643 | LA | Part a Provider - Hospital | 2163756990 | Practice locations: Lacombe, LA |
National Provider Directory
Locations
64030 Highway 434
Lacombe, LA 70445
Phone (985) 639-0202
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Hospital | 283X00000X | Yes |
Addresses
Primary practice location
64030 Highway 434
Lacombe, LA 70445-3456
Mailing address
4714 Gettysburg Rd
Mechanicsburg, PA 17055-4325
Phone (717) 972-1100
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- Ochsner Clinic LLC
- Ogden Health
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- Paradigm Imaging, L.L.C.
All providers in Lacombe, LA · Rehabilitation Hospital in Louisiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 10, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.