Organization Active NPI

Iberville Cardiac Rehab Inc

  • Cardiac Rehabilitation Clinic/Center
  • Plaquemine, LA
National Provider Identifier
1306167275
Registry record updated Jun 15, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiac Rehabilitation Clinic/CenterTaxonomy code 261QR0404X
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

Updated by the provider on Jun 15, 2010

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

Verify at the official NPI Registry.