Iberville Rehabilitation Services Inc.

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

License

1156108 Issued in LA

Legal business name

IBERVILLE REHABILITATION SERVICES INC.

Practice address

33570 Bowie St
White Castle, LA 70788-2406

Phone

(225) 545-0130

Fax

(225) 545-0131

NPI assigned

Apr 16, 2007

Last updated

May 23, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Sarah McSwain, BS., MA

Title

Director

Phone

(225) 545-0130

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 2

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.

• Virgious Brown

  • Case Manager/Care Coordinator
  • White Castle, LA
  • NPI 1003471210
  NPD (past)
• Brandi Sims

  • Mental Health Counselor
  • White Castle, LA
  • NPI 1467904185
  NPD (past)

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

{
    "created_epoch": "1176681600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1337731200000",
    "number": "1124243811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 515",
            "city": "WHITE CASTLE",
            "state": "LA",
            "postal_code": "707880515",
            "telephone_number": "225-545-0130",
            "fax_number": "225-545-0131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33570 BOWIE ST",
            "city": "WHITE CASTLE",
            "state": "LA",
            "postal_code": "707882406",
            "telephone_number": "225-545-0130",
            "fax_number": "225-545-0131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IBERVILLE REHABILITATION SERVICES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-16",
        "last_updated": "2012-05-23",
        "status": "A",
        "authorized_official_last_name": "MCSWAIN",
        "authorized_official_first_name": "SARAH",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "225-545-0130",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "BS., MA"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "LA",
            "license": "1156108",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1156108",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Clinic/Center (Including Community Mental Health Center) in White Castle, LA
• Providers in White Castle, LA by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 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.