Organization Active NPI

CHG Hospital West Monroe, LLC

  • Long Term Care Hospital
  • West Monroe, LA
National Provider Identifier
1134518632
Registry record updated Mar 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care HospitalTaxonomy code 282E00000X
License
569 Issued in LA
Legal business name
CHG HOSPITAL WEST MONROE, LLC
Practice address
6198 Cypress St
West Monroe, LA 71291-9010
Phone
(318) 396-5600
Fax
(318) 396-2999
NPI assigned
Jan 21, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2024

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

Authorized official

Name
Kathy Teague
Title
Vice President, Corporate Secretary
Phone
(629) 253-5121

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Hospital 282E00000X 569 LA Primary

Addresses

Primary practice location

6198 Cypress St
West Monroe, LA 71291-9010

Mailing address

2200 Ross Ave
Suite 5400
Dallas, TX 75201-2708
Phone (469) 621-6700

Other identifiers 1

IdentifierTypeStateIssuer
1702536MedicaidLA

Other names 1

  • Cornerstone Specialty Hospitals West Monroe Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20221101000123 LA Part B Supplier - Clinic/Group Practice 7517285950 Receives reassigned benefits from 1 practitioner
Practice locations: West Monroe, LA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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": "1421798400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709856000000",
    "number": "1134518632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 ROSS AVE",
            "address_2": "SUITE 5400",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752012708",
            "telephone_number": "469-621-6700",
            "fax_number": "469-621-6678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6198 CYPRESS ST",
            "city": "WEST MONROE",
            "state": "LA",
            "postal_code": "712919010",
            "telephone_number": "318-396-5600",
            "fax_number": "318-396-2999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHG HOSPITAL WEST MONROE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-21",
        "last_updated": "2024-03-08",
        "certification_date": "2024-03-08",
        "status": "A",
        "authorized_official_last_name": "TEAGUE",
        "authorized_official_first_name": "KATHY",
        "authorized_official_title_or_position": "VICE PRESIDENT, CORPORATE SECRETARY",
        "authorized_official_telephone_number": "629-253-5121"
    },
    "taxonomies": [
        {
            "code": "282E00000X",
            "taxonomy_group": "",
            "desc": "Long Term Care Hospital",
            "state": "LA",
            "license": "569",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1702536",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cornerstone Specialty Hospitals West Monroe",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in West Monroe, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.