Southern Rehab & Medical Center

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

3236908001 Issued in LA

Legal business name

SOUTHERN REHAB & MEDICAL CENTER

Practice address

3511 River Rd
Suite B
Jefferson, LA 70121-4160

Phone

(504) 835-6845

Fax

(504) 835-7811

NPI assigned

May 27, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Kenneth Leach

Title

President

Phone

(504) 835-6845

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1148688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1319587200000",
    "number": "1255388146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7220",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700107220",
            "telephone_number": "504-835-6845",
            "fax_number": "504-835-7811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3511 RIVER RD",
            "address_2": "SUITE B",
            "city": "JEFFERSON",
            "state": "LA",
            "postal_code": "701214160",
            "telephone_number": "504-835-6845",
            "fax_number": "504-835-7811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN REHAB & MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-27",
        "last_updated": "2011-10-26",
        "status": "A",
        "authorized_official_last_name": "LEACH",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "504-835-6845",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "LA",
            "license": "3236908001",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1431478",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DME",
            "identifier": "F7457",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Taylor Edward Smith, MD
• Rebecca Lindsay Snyder, MPH, RD, LDN
• Warren Ray Ramil Solon, MSN, APRN, AGACNP-BC
• Kayla Sosa, FNP-C
• Tara P Sosa
• St. Charles Vision Outlet Elmwood, LLC (St. Charles Vision Elmwood)
• Katherine Stagno, A.T.C
• Madeline Stanford, DO
• Melissa Hahn Stano, NP
• Kristen Gilberti Stevens, NP

• Durable Medical Equipment & Medical Supplies in Jefferson, LA
• Providers in Jefferson, LA by specialty
• Durable Medical Equipment & Medical Supplies in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2011; 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.