NPIMap

Organization Active NPI

LTAC Hospital of Louisiana - Denham Springs, LLC

  • Long Term Care Hospital
  • Denham Springs, LA
National Provider Identifier
1073757563
Registry record updated Aug 19, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care HospitalTaxonomy code 282E00000X
License
530 Issued in LA
Legal business name
LTAC HOSPITAL OF LOUISIANA - DENHAM SPRINGS, LLC
Practice address
8375 Florida Blvd
Denham Springs, LA 70726-7806
Phone
(225) 665-2664
Fax
(225) 665-0736
NPI assigned
Apr 28, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2010

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

Authorized official

Name
Dawn D. Hargrave
Title
Director of Patient Financial Serv.
Phone
(337) 269-9566

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Hospital 282E00000X 530 LA Primary
Special Hospital 284300000X 530 LA

Addresses

Primary practice location

8375 Florida Blvd
Denham Springs, LA 70726-7806

Mailing address

101 La Rue France Ste 500
Lafayette, LA 70508-3144
Phone (337) 269-9566

Other identifiers 1

IdentifierTypeStateIssuer
1749036MedicaidLA

Other names 1

  • LTAC of Denham Springs Doing business as

National Provider Directory

National Provider Directory

Locations

4242 Highway 19
Ste D
Zachary, LA 70791
Phone (225) 658-7807

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1240876800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1282176000000",
    "number": "1073757563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 LA RUE FRANCE STE 500",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705083144",
            "telephone_number": "337-269-9566",
            "fax_number": "337-234-1075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8375 FLORIDA BLVD",
            "city": "DENHAM SPRINGS",
            "state": "LA",
            "postal_code": "707267806",
            "telephone_number": "225-665-2664",
            "fax_number": "225-665-0736"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LTAC HOSPITAL OF LOUISIANA - DENHAM SPRINGS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-28",
        "last_updated": "2010-08-19",
        "status": "A",
        "authorized_official_last_name": "HARGRAVE",
        "authorized_official_first_name": "DAWN",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "DIRECTOR OF PATIENT FINANCIAL SERV.",
        "authorized_official_telephone_number": "337-269-9566"
    },
    "taxonomies": [
        {
            "code": "282E00000X",
            "taxonomy_group": "",
            "desc": "Long Term Care Hospital",
            "state": "LA",
            "license": "530",
            "primary": true
        },
        {
            "code": "284300000X",
            "taxonomy_group": "",
            "desc": "Special Hospital",
            "state": "LA",
            "license": "530",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1749036",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LTAC of Denham Springs",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Denham Springs, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2010; 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.