St Theresa Hospital of Kenner LLC

Primary specialty

Rehabilitation HospitalTaxonomy code 283X00000X

Legal business name

ST THERESA HOSPITAL OF KENNER LLC

Practice address

3601 Loyola Drive
Kenner, LA 70065-1797

Phone

(504) 468-8552

Fax

(504) 885-3600

NPI assigned

Jul 30, 2006

Organization subpart

No

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

Authorized official

Name

Mr. John A Liljeberg Jr., R PH

Title

Owner Director

Phone

(504) 885-3900

Specialties & licenses 1

Addresses

Other names 1

• St Theresa Medical Complex Doing business as

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

{
    "created_epoch": "1154217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1285649939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3900 VETERANS BLVS",
            "address_2": "THIRD FLOOR",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700025364",
            "telephone_number": "504-885-3900",
            "fax_number": "504-885-3600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3601 LOYOLA DRIVE",
            "city": "KENNER",
            "state": "LA",
            "postal_code": "700651797",
            "telephone_number": "504-468-8552",
            "fax_number": "504-885-3600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST THERESA HOSPITAL OF KENNER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LILJEBERG",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER DIRECTOR",
        "authorized_official_telephone_number": "504-885-3900",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "R PH"
    },
    "taxonomies": [
        {
            "code": "283X00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Hospital",
            "state": "LA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "St Theresa Medical Complex",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Rehabilitation Hospital in Kenner, LA
• Providers in Kenner, LA by specialty
• Rehabilitation 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.