Organization Active NPI

Ruston Neuropsychiatric Hospital

Doing business as Health Paradigm Hospital

  • Psychiatric Hospital
  • Ruston, LA
National Provider Identifier
1336232396
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric HospitalTaxonomy code 283Q00000X
License
565 Issued in LA
Legal business name
RUSTON NEUROPSYCHIATRIC HOSPITAL
Doing business as
Health Paradigm Hospital
Practice address
146 Shaman Rd
Ruston, LA 71270-5347
Phone
(318) 254-0142
Fax
(318) 254-2829
NPI assigned
Oct 2, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Elise Vandenberg
Title
Chief Financial Officer
Phone
(318) 251-2322

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Hospital 283Q00000X 565 LA Primary

Addresses

Primary practice location

146 Shaman Rd
Ruston, LA 71270-5347

Mailing address

146 Shaman Road
Ruston, LA 71270-1012
Phone (318) 254-0142

Other identifiers 1

IdentifierTypeStateIssuer
1709573MedicaidLA

Other names 1

  • Health Paradigm Hospital Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

Hospital certification: CCN 194077

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
HEALTH PARADIGM HOSPITAL
Certification status
Terminated Voluntary: merger or closure, Jun 26, 2008
Provider type (POS)
Hospital – Psychiatric
Participating since
Oct 23, 2005
Last certification
Sep 1, 2005
Beds
15
Ownership / control type
Private (not for profit)
Facility address
146 Shaman Road
Ruston, LA 71270

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1336232396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "146 SHAMAN ROAD",
            "city": "RUSTON",
            "state": "LA",
            "postal_code": "712701012",
            "telephone_number": "318-254-0142",
            "fax_number": "318-254-2829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "146 SHAMAN RD",
            "city": "RUSTON",
            "state": "LA",
            "postal_code": "712705347",
            "telephone_number": "318-254-0142",
            "fax_number": "318-254-2829"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RUSTON NEUROPSYCHIATRIC HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "VANDENBERG",
        "authorized_official_first_name": "ELISE",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "318-251-2322",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "283Q00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Hospital",
            "state": "LA",
            "license": "565",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1709573",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Health Paradigm Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ruston, LA

Sources for this page

Verify at the official NPI Registry.