Lifemark Hospitals of Louisiana, Inc.

Primary specialty

General Acute Care HospitalTaxonomy code 282N00000X

License

300 Issued in LA

Legal business name

LIFEMARK HOSPITALS OF LOUISIANA, INC.

Practice address

180 W Esplanade Ave
Kenner, LA 70065-2467

Phone

(504) 468-8600

NPI assigned

Jul 5, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Douglas E. Rabe

Title

VP of Taxation, Tenet Healthcare

Phone

(469) 893-2530

Specialties & licenses 1

Addresses

Other identifiers 8

Other names 1

• Kenner Regional Medical Center Doing business as

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Hospital certification: CCN 190206

Legal name

KENNER REGIONAL MEDICAL CENTER

Certification status

Terminated Voluntary: merger or closure, Sep 30, 2006

Provider type (POS)

Hospital – Short-term

Participating since

Sep 1, 1990

Last certification

Jan 24, 1991

Beds

170

Ownership / control type

Private (for profit)

Facility address

180 W Esplanade Avenue
Kenner, LA 70065

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1104857671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 676733",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752676733",
            "telephone_number": "214-387-6444",
            "fax_number": "504-464-8062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 W ESPLANADE AVE",
            "city": "KENNER",
            "state": "LA",
            "postal_code": "700652467",
            "telephone_number": "504-468-8600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFEMARK HOSPITALS OF LOUISIANA, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RABE",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "VP OF TAXATION, TENET HEALTHCARE",
        "authorized_official_telephone_number": "469-893-2530",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "LA",
            "license": "300",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF LOUISIANA",
            "identifier": "60779",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1744611",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1705551",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUMANA",
            "identifier": "000449",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1744701",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SECTION 1011",
            "identifier": "190206B000000",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF LOUISIANA",
            "identifier": "33721",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COVENTRY HEALTH CARE LOUI",
            "identifier": "84889",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kenner Regional Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Nicki Maria Levendis, LPC, MFT
• Alexis Janea Lewis, PA-C
• Jacob D Lewis Jr.
• Lifecare Hospital of New Orleans at Kenner
• Lifeline Medical Equipments Inc
• A.C. Liles III, D.D.S.
• Lindsay Liles
• Limitless Transportation LLC
• Ricki Lacoste Linarello, NP
• Carmen Linares, MD

• General Acute Care Hospital in Kenner, LA
• Providers in Kenner, LA by specialty
• General Acute Care Hospital in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.