Health Servicesgroup of Louisiana, LLC

Primary specialty

Special HospitalTaxonomy code 284300000X

License

418 Issued in LA

Legal business name

HEALTH SERVICESGROUP OF LOUISIANA, LLC

Doing business as

Gulf States LTAC Washington/St Tammy

Practice address

433 Plaza St
Bogalusa, LA 70427-3729

Phone

(985) 732-1186

NPI assigned

Feb 2, 2006

Organization subpart

No

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

Authorized official

Name

Cheryl Wallace

Title

Cfo

Phone

(225) 216-2299

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Gulf States LTAC Washington/St Tammy Doing business as

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

{
    "created_epoch": "1138838400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1245202373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "433 PLAZA ST",
            "city": "BOGALUSA",
            "state": "LA",
            "postal_code": "704273729",
            "telephone_number": "985-732-1186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "433 PLAZA ST",
            "city": "BOGALUSA",
            "state": "LA",
            "postal_code": "704273729",
            "telephone_number": "985-732-1186"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTH SERVICESGROUP OF LOUISIANA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WALLACE",
        "authorized_official_first_name": "CHERYL",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "225-216-2299"
    },
    "taxonomies": [
        {
            "code": "284300000X",
            "taxonomy_group": "",
            "desc": "Special Hospital",
            "state": "LA",
            "license": "418",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "60745",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gulf States LTAC Washington/St Tammy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Rebecca A Hankel, RD, LDN
• Harrison Place Guest House, LLC
• Marc Hautot, O.D.
• Healing Bliss Therapeutics
• Health Services Group of Louisiana, LLC
• Richard P. Heflin, M.D.
• Karmynah Marie Wilnetta Helaire, MD, MPH
• Martha Ann Hersey, GSW
• Amy Michele Hillman, MSW, LCSW
• Sharon A Hoffman, M.D.

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

• 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.