Bogalusa Rehabilitation Hospital LLC

Primary specialty

Rehabilitation HospitalTaxonomy code 283X00000X

Legal business name

BOGALUSA REHABILITATION HOSPITAL LLC

Doing business as

Bogalusa Rehabilitation Hospital

Practice address

621 S. Columbia Street
Bogalusa, LA 70427-4721

Phone

(337) 254-4535

Fax

(337) 269-5506

NPI assigned

Sep 17, 2015

Last updated

Oct 30, 2023By 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

Charles Matthews

Title

Ceo/Manager

Phone

(337) 254-4535

Specialties & licenses 1

Addresses

Other names 1

• Bogalusa Rehabilitation Hospital Doing business as

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1154790327. Details of each certification follow.

• CCN 713026 Hospital · Active · Details

Hospital certification: CCN 713026

Legal name

BOGALUSA REHABILITATION HOSPITAL LLC

Doing business as

BOGALUSA REHABILITATION HOSPITAL

Certification status

Active

Provider type (POS)

Hospital – Rehabilitation

Participating since

Mar 24, 2020

Last certification

Mar 24, 2020

Beds

11

Ownership / control type

Private (for profit)

Organization structure

LLCProprietary

Incorporated

Sep 18, 2015 in LA

Enrollment address

621 S Columbia St
Bogalusa, LA 70427-4721
Main/Primary Hospital Location

Hospital subgroups

Rehabilitation

Listed as

Bogalusa Rehabilitation HospitalCCN 713026 · All quality measures

Ownership

For profit

Certified

Mar 24, 2020

Medicare certification status

ActiveFrom the Provider of Services file

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

All disclosed owners & managing parties 1

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Practitioners 3

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.

• Steven Paul Ogden, M.D.

  • Family Medicine Physician
  • Bogalusa, LA
  • NPI 1093080384
  NPD (past)
• Hossein K Tabari, M.D.

  • Nephrology Physician
  • Bogalusa, LA
  • NPI 1619032141
  NPD (past)
• Purnachandra Rao Yerneni, MD

  • Internal Medicine Physician
  • Bogalusa, LA
  • NPI 1861571622
  NPD (past)

Affiliated clinicians 3

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Steven Paul Ogden, M.D.

  • Family Medicine Physician
  • Bogalusa, LA
  • NPI 1093080384

  Inpatient rehabilitation facility

  Care Compare affiliation
• Hossein K Tabari, M.D.

  • Nephrology Physician
  • Bogalusa, LA
  • NPI 1619032141

  Inpatient rehabilitation facility

  Care Compare affiliation
• Purnachandra Rao Yerneni, MD

  • Internal Medicine Physician
  • Bogalusa, LA
  • NPI 1861571622

  Inpatient rehabilitation facility

  Care Compare affiliation

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

{
    "created_epoch": "1442448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698624000000",
    "number": "1154790327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "621 S. COLUMBIA STREET",
            "city": "BOGALUSA",
            "state": "LA",
            "postal_code": "704274721",
            "telephone_number": "337-254-4535",
            "fax_number": "337-269-5506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "621 S. COLUMBIA STREET",
            "city": "BOGALUSA",
            "state": "LA",
            "postal_code": "704274721",
            "telephone_number": "337-254-4535",
            "fax_number": "337-269-5506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOGALUSA REHABILITATION HOSPITAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-17",
        "last_updated": "2023-10-30",
        "certification_date": "2023-10-30",
        "status": "A",
        "authorized_official_last_name": "MATTHEWS",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_title_or_position": "CEO/MANAGER",
        "authorized_official_telephone_number": "337-254-4535"
    },
    "taxonomies": [
        {
            "code": "283X00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Hospital",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bogalusa Rehabilitation Hospital",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Bogalusa Rehabilitation Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Bogalusa Emergency Group LLC
• Bogalusa Family Chiropractic Clinic
• Bogalusa Family Practice
• Bogalusa Health Care Inc
• Bogalusa Physical Therapy, LLC (Care Physical Therapy)
• Bogalusa Restoration Center, LLC
• Bogue Chitto Heights Baptist Church, Inc (The Way Center)
• Barry Warris Bolton
• Carly Kristin Bordelon, PHARM.D.
• Randy Peter Bouligny, MD

• Rehabilitation Hospital in Bogalusa, LA
• Providers in Bogalusa, LA by specialty
• Rehabilitation Hospital in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2023; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.