Rehab Services of Cenla

Primary specialty

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

Legal business name

REHAB SERVICES OF CENLA

Practice address

1450 Peterman Dr Ste a
Alexandria, LA 71301-3432

Phone

(318) 473-4328

NPI assigned

Apr 23, 2007

Organization subpart

No

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

Authorized official

Name

Kyle Jacob

Title

Cfo

Phone

(318) 747-8895

Specialties & licenses 2

Addresses

Other identifiers 1

Tax ID family

Rehab Services of Cenla3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Rehab Services of Cenla

  • Community/Behavioral Health Agency
  • Leesville, LA
  • NPI 1578014635
  NPD tax ID
• Rehab Services of Cenla

  • Community/Behavioral Health Agency
  • Leesville, LA
  • NPI 1780127654
  NPD tax ID

Locations

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

{
    "created_epoch": "1177286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690156800000",
    "number": "1154549285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 CHINABERRY DR STE 900",
            "city": "BOSSIER CITY",
            "state": "LA",
            "postal_code": "711112455",
            "telephone_number": "318-746-0420",
            "fax_number": "318-626-5429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1450 PETERMAN DR STE A",
            "city": "ALEXANDRIA",
            "state": "LA",
            "postal_code": "713013432",
            "telephone_number": "318-473-4328"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REHAB SERVICES OF CENLA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-23",
        "last_updated": "2023-07-24",
        "certification_date": "2023-07-24",
        "status": "A",
        "authorized_official_last_name": "JACOB",
        "authorized_official_first_name": "KYLE",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "318-747-8895"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1143731",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Regional Healthcare Services - Central, LLC
• Regional Healthcare Services - Central, LLC
• Regional Healthcare Services, LLC
• Regional Pca Services - Central, LLC
• Regional Pca Services - Central, LLC
• Allie Reid, M.S., CCC-SLP
• Fred Michael Reid, M.D.
• Eric Reish, M.D.
• Gabrielle Reliford
• David Joshua Remedios, DPT

• All providers in Alexandria, LA
• 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 Jul 24, 2023; 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.