NPIMap

Organization Active NPI

Iberia Rehabilitation Hospital, LLC

  • Rehabilitation Hospital
  • New Iberia, LA
National Provider Identifier
1386620045
Registry record updated Feb 12, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation HospitalTaxonomy code 283X00000X
License
561 Issued in LA
Legal business name
IBERIA REHABILITATION HOSPITAL, LLC
Practice address
532 Jefferson Terrrace
New Iberia, LA 70560-4948
Phone
(337) 364-6923
Fax
(337) 364-6924
NPI assigned
Dec 15, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2009

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

Authorized official

Name
Mr. Eugene E. Smith
Title
President & Coo
Phone
(225) 216-2299

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Hospital 283X00000X 561 LA Primary

Addresses

Primary practice location

532 Jefferson Terrrace
New Iberia, LA 70560-4948

Mailing address

532 Jefferson Ter
New Iberia, LA 70560-4948
Phone (337) 364-6923

Other identifiers 2

IdentifierTypeStateIssuer
1710822MedicaidLA
61348OtherLABCBS

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1134604800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1234396800000",
    "number": "1386620045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "532 JEFFERSON TER",
            "city": "NEW IBERIA",
            "state": "LA",
            "postal_code": "705604948",
            "telephone_number": "337-364-6923",
            "fax_number": "337-364-6924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "532 JEFFERSON TERRRACE",
            "city": "NEW IBERIA",
            "state": "LA",
            "postal_code": "705604948",
            "telephone_number": "337-364-6923",
            "fax_number": "337-364-6924"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IBERIA REHABILITATION HOSPITAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-15",
        "last_updated": "2009-02-12",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "EUGENE",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "PRESIDENT & COO",
        "authorized_official_telephone_number": "225-216-2299",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "283X00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Hospital",
            "state": "LA",
            "license": "561",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1710822",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "61348",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Iberia, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2009; 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.