NPIMap

Organization Active NPI

Trinity Neurologic Rehabilitation Center Igh, LLC

  • Skilled Nursing Facility
  • Slidell, LA
National Provider Identifier
1356338545
Registry record updated Mar 11, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
991 Issued in LA
Legal business name
TRINITY NEUROLOGIC REHABILITATION CENTER IGH, LLC
Practice address
1400 Lindberg Dr
Slidell, LA 70458-8056
Phone
(985) 641-4985
Fax
(985) 646-0793
NPI assigned
Oct 3, 2005
Last updated
Mar 11, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2011

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

Authorized official

Name
Mr. Patrick Foret
Title
Administrator
Phone
(985) 641-4985

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 991 LA Primary

Addresses

Primary practice location

1400 Lindberg Dr
Slidell, LA 70458-8056

Mailing address

1400 Lindberg Dr
Slidell, LA 70458-8056
Phone (985) 641-4985

Other identifiers 1

IdentifierTypeStateIssuer
1510645MedicaidLA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1128297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1299801600000",
    "number": "1356338545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 LINDBERG DR",
            "city": "SLIDELL",
            "state": "LA",
            "postal_code": "704588056",
            "telephone_number": "985-641-4985",
            "fax_number": "985-646-0793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 LINDBERG DR",
            "city": "SLIDELL",
            "state": "LA",
            "postal_code": "704588056",
            "telephone_number": "985-641-4985",
            "fax_number": "985-646-0793"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRINITY NEUROLOGIC REHABILITATION CENTER IGH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-03",
        "last_updated": "2011-03-11",
        "status": "A",
        "authorized_official_last_name": "FORET",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "985-641-4985",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "LA",
            "license": "991",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1510645",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Slidell, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2011; 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.