Pelican Rehabilitation Hospital, LLC

Primary specialty

Rehabilitation HospitalTaxonomy code 283X00000X

Legal business name

PELICAN REHABILITATION HOSPITAL, LLC

Practice address

4201 Woodland Dr
3Rd Floor
New Orleans, LA 70131-7339

Phone

(504) 378-5060

Fax

(504) 378-5061

NPI assigned

Apr 14, 2013

Organization subpart

No

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

Authorized official

Name

Mrs. Sybil C Miles

Title

President

Phone

(225) 341-9351

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Hospital certification: CCN 193095

Legal name

PELICAN REHABILITATION HOSPITAL, LLC

Certification status

Terminated Voluntary: merger or closure, Nov 4, 2015

Provider type (POS)

Hospital – Rehabilitation

Participating since

Aug 1, 2014

Last certification

Aug 1, 2014

Beds

16

Ownership / control type

Private (for profit)

Facility address

4201 Woodland Drive, 3Rd Floor
New Orleans, LA 70131

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

{
    "created_epoch": "1365897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1379548800000",
    "number": "1053754606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41191 CITADEL DR",
            "city": "SORRENTO",
            "state": "LA",
            "postal_code": "707783425",
            "telephone_number": "225-341-9351",
            "fax_number": "225-644-8341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4201 WOODLAND DR",
            "address_2": "3RD FLOOR",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701317339",
            "telephone_number": "504-378-5060",
            "fax_number": "504-378-5061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PELICAN REHABILITATION HOSPITAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-14",
        "last_updated": "2013-09-19",
        "status": "A",
        "authorized_official_last_name": "MILES",
        "authorized_official_first_name": "SYBIL",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "225-341-9351",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "283X00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Hospital",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pegasus Biologics LLC
• Catherine A Peirsol Schipper, NP
• Nicholas Gregory Pejic, M.D.
• Laura Pelaez, M.D
• Pelican Care Services, LLC
• Pelicano, LLC
• Margaret Morel Pelitere, MD
• Karen A Pellerin, PSY.D.
• Tyra Ann Pellerin
• Daniel Joseph Pellerito, MA, ATC

• Rehabilitation Hospital in New Orleans, LA
• Providers in New Orleans, LA by specialty
• Rehabilitation Hospital in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.