Active NPI
Iberville Cardiac Rehab Inc
- Cardiac Rehabilitation Clinic/Center
- Plaquemine, LA
National Provider Identifier
1306167275
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiac Rehabilitation Clinic/Center
- Legal business name
- IBERVILLE CARDIAC REHAB INC
- Practice address
- 59350 River West Dr
Suite 104
Plaquemine, LA 70764-6553 - Phone
- (504) 812-2455
- NPI assigned
- Jun 15, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Cynthia Gizzela Henry, M.S.
- Title
- Owner
- Phone
- (504) 812-2455
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiac Rehabilitation Clinic/Center | 261QR0404X | Primary |
Addresses
Primary practice location
59350 River West Dr
Suite 104
Plaquemine, LA 70764-6553
Mailing address
59350 River West Dr
Suite 104
Plaquemine, LA 70764-6553
National Provider Directory
National Provider DirectoryLocations
59350 River West Dr
Ste 104
Plaquemine, LA 70764
Phone (504) 812-2455
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1276560000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1276560000000",
"number": "1306167275",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "59350 RIVER WEST DR",
"address_2": "SUITE 104",
"city": "PLAQUEMINE",
"state": "LA",
"postal_code": "707646553"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "59350 RIVER WEST DR",
"address_2": "SUITE 104",
"city": "PLAQUEMINE",
"state": "LA",
"postal_code": "707646553",
"telephone_number": "504-812-2455"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "IBERVILLE CARDIAC REHAB INC",
"organizational_subpart": "NO",
"enumeration_date": "2010-06-15",
"last_updated": "2010-06-15",
"status": "A",
"authorized_official_last_name": "HENRY",
"authorized_official_first_name": "CYNTHIA",
"authorized_official_middle_name": "GIZZELA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "504-812-2455",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "M.S."
},
"taxonomies": [
{
"code": "261QR0404X",
"taxonomy_group": "",
"desc": "Clinic/Center, Rehabilitation, Cardiac Facilities",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Plaquemine, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.