Organization Active NPI

Delta Rehab Services, LLC

  • Skilled Nursing Facility
  • Alexandria, LA
National Provider Identifier
1336314897
Registry record updated Jun 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
DELTA REHAB SERVICES, LLC
Practice address
2200 Memorial Dr
Alexandria, LA 71301-3611
Phone
(318) 452-5166
NPI assigned
Apr 25, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2008

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

Authorized official

Name
Stan E Richardson, LOTR
Title
Member Co Owner
Phone
(318) 452-5166

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

2200 Memorial Dr
Alexandria, LA 71301-3611

Mailing address

PO Box 180
Libuse, LA 71348
Phone (318) 452-5166

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1209081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213660800000",
    "number": "1336314897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 180",
            "city": "LIBUSE",
            "state": "LA",
            "postal_code": "71348",
            "telephone_number": "318-452-5166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 MEMORIAL DR",
            "city": "ALEXANDRIA",
            "state": "LA",
            "postal_code": "713013611",
            "telephone_number": "318-452-5166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DELTA REHAB SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-25",
        "last_updated": "2008-06-17",
        "status": "A",
        "authorized_official_last_name": "RICHARDSON",
        "authorized_official_first_name": "STAN",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "MEMBER CO OWNER",
        "authorized_official_telephone_number": "318-452-5166",
        "authorized_official_credential": "LOTR"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alexandria, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2008; 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.