St. Theresa Specialty Hospital, LLC

Primary specialty

Long Term Care HospitalTaxonomy code 282E00000X

License

635 Issued in LA

Legal business name

ST. THERESA SPECIALTY HOSPITAL, LLC

Practice address

4200 Houma Blvd
5TH Floor
Metairie, LA 70006-2970

Phone

(504) 885-3900

Fax

(504) 885-3600

NPI assigned

Jul 21, 2005

Organization subpart

No

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

Authorized official

Name

Mr. Geoffrey B. Morris, CPA

Title

Cfo

Phone

(504) 885-3900

Specialties & licenses 1

Addresses

Other identifiers 1

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Select Specialty Hospitals Inc

  • Long Term Care Hospital
  • Birmingham, AL
  • NPI 1487652616

  Member Of

  NPD member

Locations

Practitioners 1

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

• Robert L Liljeberg Jr., M.D.

  • Orthopaedic Surgery Physician
  • Troy, AL
  • NPI 1659327526
  NPD (past)

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

{
    "created_epoch": "1121904000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1259798400000",
    "number": "1396745246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3900 VETERANS BLVD.",
            "address_2": "THIRD FLOOR",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700025634",
            "telephone_number": "504-885-3900",
            "fax_number": "504-885-3600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4200 HOUMA BLVD",
            "address_2": "5TH FLOOR",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700062970",
            "telephone_number": "504-885-3900",
            "fax_number": "504-885-3600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. THERESA SPECIALTY HOSPITAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-21",
        "last_updated": "2009-12-03",
        "status": "A",
        "authorized_official_last_name": "MORRIS",
        "authorized_official_first_name": "GEOFFREY",
        "authorized_official_middle_name": "B.",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "504-885-3900",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CPA"
    },
    "taxonomies": [
        {
            "code": "282E00000X",
            "taxonomy_group": "",
            "desc": "Long Term Care Hospital",
            "state": "LA",
            "license": "635",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS LA",
            "identifier": "60209",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• David Joseph St. Germain Jr., M.D.
• Geraldine Alba St. Germain, MD
• Christine Bianca St. Hubert
• Elizabeth Miner St. John, PT
• Dariyelle St. Julien
• Alyssa Rene St.Amant
• Jessica Edita Mabagos Sta. Maria, PHARM.D.
• Vince Stadelman
• Wendy Stafford
• Shontae Stallworth, BACHELORS PSYCHOLOGY

• Long Term Care Hospital in Metairie, LA
• Providers in Metairie, LA by specialty
• Long Term Care Hospital in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 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.