Organization Active NPI

Diversified Rehabilitation Service

  • Developmentally Disabled Services Day Training Agency
  • Baton Rouge, LA
National Provider Identifier
1407036379
Registry record updated Nov 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
License
12265 Issued in LA
Legal business name
DIVERSIFIED REHABILITATION SERVICE
Practice address
19637 Cape Hart CT
Baton Rouge, LA 70809-6727
Phone
(225) 756-2700
NPI assigned
Nov 8, 2007
Last updated
Nov 8, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2007

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

Authorized official

Name
Cassandra Lang
Title
Office Manager
Phone
(225) 810-6130

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X 12265 LA Primary

Addresses

Primary practice location

19637 Cape Hart CT
Baton Rouge, LA 70809-6727

Mailing address

2900 Westfork Dr Ste 42
Baton Rouge, LA 70827-0010
Phone (225) 756-2700

National Provider Directory

National Provider Directory
Tax ID family
Diversified Rehabilitation Service2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2900 Westfork Dr
Ste 42
Baton Rouge, LA 70827

NPI Registry JSON

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

{
    "created_epoch": "1194480000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194480000000",
    "number": "1407036379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2900 WESTFORK DR STE 42",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708270010",
            "telephone_number": "225-756-2700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19637 CAPE HART CT",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708096727",
            "telephone_number": "225-756-2700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVERSIFIED REHABILITATION SERVICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-08",
        "last_updated": "2007-11-08",
        "status": "A",
        "authorized_official_last_name": "LANG",
        "authorized_official_first_name": "CASSANDRA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "225-810-6130"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "LA",
            "license": "12265",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baton Rouge, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2007; 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.