Organization Active NPI

Baton Rouge Specialty Hospital

  • Rehabilitation Hospital Unit
  • Baton Rouge, LA
National Provider Identifier
1194613588
Registry record updated Jun 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Hospital UnitTaxonomy code 273Y00000X
Legal business name
BATON ROUGE SPECIALTY HOSPITAL
Practice address
5130 Mancuso LN
Baton Rouge, LA 70809-3583
Phone
(225) 490-9600
NPI assigned
Jun 25, 2025
Last updated
Jun 25, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2025

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

Authorized official

Name
Manpreet Singh
Title
Director of Operations
Phone
(707) 503-8772

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Hospital Unit 273Y00000X NU Primary

Addresses

Primary practice location

5130 Mancuso LN
Baton Rouge, LA 70809-3583

Mailing address

5130 Mancuso LN
Baton Rouge, LA 70809-3583
Phone (225) 490-9600

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250825003153 LA Part A Provider - Hospital 3072052935 Practice locations: Baton Rouge, LA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1194613588. Details of each certification follow.

Hospital certification: CCN 19TA04

Legal name
BATON ROUGE SPECIALTY HOSPITAL
Doing business as
BATON ROUGE SPECIALTY HOSPITAL
Organization structure
CorporationProprietary
Enrollment address
5130 Mancuso LN
Baton Rouge, LA 70809-3583
Other Hospital Practice Location
Hospital subgroups
Rehabilitation unit

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Baton Rouge Specialty Hospital2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Ownership & related parties

All disclosed owners & managing parties 3

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

NameRoleSinceShare
Gurpreet Singh Randhawa Individual 5% Or Greater Direct Ownership InterestChief Executive Officer May 19, 2024 100%
Shamsher Bhullar Individual Operational/Managerial ControlSecretary May 19, 2024
Tammy Thompson Individual Corporate OfficerChief Financial Officer May 19, 2024
Operational/Managerial ControlChief Financial Officer May 19, 2024

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Baton Rouge Specialty HospitalBaton Rouge, LA, CCN 192004 Hospital 5% Or Greater Direct Ownership Interest May 19, 2024

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

NPI Registry JSON

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

{
    "created_epoch": "1750809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750809600000",
    "number": "1194613588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5130 MANCUSO LN",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708093583",
            "telephone_number": "225-490-9600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5130 MANCUSO LN",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708093583",
            "telephone_number": "225-490-9600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BATON ROUGE SPECIALTY HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-25",
        "last_updated": "2025-06-25",
        "certification_date": "2025-06-25",
        "status": "A",
        "authorized_official_last_name": "SINGH",
        "authorized_official_first_name": "MANPREET",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "707-503-8772"
    },
    "taxonomies": [
        {
            "code": "273Y00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Unit",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baton Rouge, LA

Sources for this page

Verify at the official NPI Registry.