NPIMap

Organization Active NPI

Louisiana Health and Rehab Center Inc

  • Substance Abuse Rehabilitation Facility
  • Baton Rouge, LA
National Provider Identifier
1053684381
Registry record updated Feb 16, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
License
420 Issued in LA
Legal business name
LOUISIANA HEALTH AND REHAB CENTER INC
Practice address
2056 North Blvd
Baton Rouge, LA 70806-3674
Phone
(225) 343-3438
Fax
(225) 343-1511
NPI assigned
Feb 16, 2012
Last updated
Feb 16, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2012

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
Substance Abuse Rehabilitation Facility 324500000X 420 LA Primary

Addresses

Primary practice location

2056 North Blvd
Baton Rouge, LA 70806-3674

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.

Locations

2056 North Blvd
Baton Rouge, LA 70806
Phone (225) 343-3438

NPI Registry JSON

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

{
    "created_epoch": "1329350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329350400000",
    "number": "1053684381",
    "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": "2056 NORTH BLVD",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708063674",
            "telephone_number": "225-343-3438",
            "fax_number": "225-343-1511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOUISIANA HEALTH AND REHAB CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-16",
        "last_updated": "2012-02-16",
        "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": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "LA",
            "license": "420",
            "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 Feb 16, 2012; 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.