NPIMap

Organization Active NPI

St. Lukes Rehabilitaion Hospital

  • Rehabilitation Hospital
  • Shreveport, LA
National Provider Identifier
1225068950
Registry record updated Aug 22, 2020
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Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation HospitalTaxonomy code 283X00000X
License
547 Issued in LA
Legal business name
ST. LUKES REHABILITAION HOSPITAL
Practice address
2140 Midway St
Shreveport, LA 71108-2206
Phone
(318) 631-2345
NPI assigned
Jul 5, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Gary L Cain
Title
Ceo
Phone
(210) 493-5565

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Hospital 283X00000X 547 LA Primary

Addresses

Primary practice location

2140 Midway St
Shreveport, LA 71108-2206

Mailing address

2140 Midway St
Shreveport, LA 71108-2206
Phone (318) 631-2345

Other identifiers 1

IdentifierTypeStateIssuer
1701971MedicaidLA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1225068950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2140 MIDWAY ST",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711082206",
            "telephone_number": "318-631-2345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2140 MIDWAY ST",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711082206",
            "telephone_number": "318-631-2345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. LUKES REHABILITAION HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CAIN",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "210-493-5565",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "283X00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Hospital",
            "state": "LA",
            "license": "547",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1701971",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Shreveport, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.