Organization Active NPI

Christian Rehabilitation Center LLC

  • Clinical Social Worker
  • Baker, LA
National Provider Identifier
1053790659
Registry record updated Jun 17, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
9810 Issued in LA
Legal business name
CHRISTIAN REHABILITATION CENTER LLC
Practice address
4513 Greenwood LN
Baker, LA 70714-2425
Phone
(225) 305-5647
NPI assigned
May 28, 2015
Last updated
Jun 17, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2016

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

Authorized official

Name
Monique Hall, LCSWNPI 1548648074
Title
Owner Administrator
Phone
(225) 305-5647

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X 9810 LA
Clinical Social Worker 1041C0700X 9810 LA Primary
Early Intervention Provider Agency 252Y00000X 9810 LA
Community/Behavioral Health Agency 251S00000X 9810 LA

Addresses

Primary practice location

4513 Greenwood LN
Baker, LA 70714-2425

Mailing address

4513 Greenwood LN
Baker, LA 70714-2425
Phone (225) 305-5647

National Provider Directory

National Provider Directory

Locations

1451 N Broad St
New Orleans, LA 70119
Phone (225) 305-5647

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1432771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1466121600000",
    "number": "1053790659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4513 GREENWOOD LN",
            "city": "BAKER",
            "state": "LA",
            "postal_code": "707142425",
            "telephone_number": "225-305-5647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4513 GREENWOOD LN",
            "city": "BAKER",
            "state": "LA",
            "postal_code": "707142425",
            "telephone_number": "225-305-5647"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRISTIAN REHABILITATION CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-28",
        "last_updated": "2016-06-17",
        "status": "A",
        "authorized_official_last_name": "HALL",
        "authorized_official_first_name": "MONIQUE",
        "authorized_official_title_or_position": "OWNER ADMINISTRATOR",
        "authorized_official_telephone_number": "225-305-5647",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "LA",
            "license": "9810",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "LA",
            "license": "9810",
            "primary": true
        },
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "LA",
            "license": "9810",
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "LA",
            "license": "9810",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baker, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 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.