Sage Rehab Hospital of Lafayette Operations, LLC

Primary specialty

Rehabilitation HospitalTaxonomy code 283X00000X

Legal business name

SAGE REHAB HOSPITAL OF LAFAYETTE OPERATIONS, LLC

Doing business as

Sage Rehab of Lafayette

Practice address

204 Energy Pkwy
Lafayette, LA 70508-3816

Phone

(225) 368-3181

NPI assigned

Oct 8, 2020

Last updated

Dec 10, 2021By 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

Mr. Patrick T Mitchell

Title

Manager

Phone

(225) 368-3181

Specialties & licenses 1

Addresses

Other names 1

• Sage Rehab of Lafayette 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 1255938676. Details of each certification follow.

• CCN 192057 Hospital · Active · Details

Hospital certification: CCN 192057

Legal name

SAGE REHAB HOSPITAL OF LAFAYETTE OPERATIONS, LLC

Doing business as

SAGE SPECIALTY AND REHABILITATION CENTER OF LAFAYETTE

Certification status

Active

Provider type (POS)

Hospital – Long-term

Participating since

Jan 1, 2022

Last certification

Jan 1, 2022

Beds

72

Ownership / control type

Private (for profit)

Organization structure

LLCProprietary

Incorporated

Oct 9, 2020 in LA

Enrollment address

204 Energy Pkwy
Ste B
Lafayette, LA 70508-3816
Main/Primary Hospital Location

Hospital subgroups

Acute care

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Sage Rehab Hospital of Lafayette Operations, LLC

  dba Sage Specialty and Rehabilitation Center of Lafayette

  • Long Term Care Hospital
  • Lafayette, LA
  • NPI 1134873748

  O20210111002919

  Same enrollment

Listed as

Sage Specialty and Rehabilitation Center of LafayeCCN 192057 · All quality measures

Ownership

For profit

Certified

Jan 1, 2022

Medicare certification status

ActiveFrom the Provider of Services file

Beds

48

All disclosed owners & managing parties 9

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

Owners & managing parties with NPI records 1

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

• Sai Sudhakar Chennamsetty, M.D.

  • Internal Medicine Physician
  • Lafayette, LA
  • NPI 1245593979

  Contracted Managing Employee

  CMS ownership

Affiliated clinicians 2

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

• Sai Sudhakar Chennamsetty, M.D.

  • Internal Medicine Physician
  • Lafayette, LA
  • NPI 1245593979

  Long-term care hospital

  Care Compare affiliation
• Cynthia Kyra Landry, APRN-BC

  • Adult Health Nurse Practitioner
  • Lafayette, LA
  • NPI 1629412069

  Long-term care hospital

  Care Compare affiliation

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

{
    "created_epoch": "1602115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1639094400000",
    "number": "1255938676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10615 JEFFERSON HWY",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708097230",
            "telephone_number": "337-446-4300",
            "fax_number": "866-815-7594"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 ENERGY PKWY",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705083816",
            "telephone_number": "225-368-3181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAGE REHAB HOSPITAL OF LAFAYETTE OPERATIONS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-08",
        "last_updated": "2021-12-10",
        "certification_date": "2021-12-10",
        "status": "A",
        "authorized_official_last_name": "MITCHELL",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "225-368-3181",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "283X00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Hospital",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sage Rehab of Lafayette",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Sage Rehab of Lafayette",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2021; 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.