West Bank Rehab Option LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

WEST BANK REHAB OPTION LLC

Doing business as

West Bank Rehab Option

Practice address

4905 Wichers Dr
Marrero, LA 70072-3028

Phone

(504) 340-3248

Fax

(504) 348-1154

NPI assigned

Nov 27, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Robert Ancira, MD

Title

Owner

Phone

(504) 891-8503

Specialties & licenses 1

Addresses

Other names 1

• West Bank Rehab Option Doing business as

Practitioners 2

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

• Janelle Simmons Oconnor, LCSW

  • Clinical Social Worker
  • New Orleans, LA
  • NPI 1750574448
  NPD (past)
• Jesse Dean Sutton, L.C.S.W.

  • Clinical Social Worker
  • Marrero, LA
  • NPI 1013028216
  NPD (past)

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

{
    "created_epoch": "1196121600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196121600000",
    "number": "1407037930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1325 AMELIA ST",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701153625",
            "telephone_number": "504-891-8503",
            "fax_number": "504-891-9428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4905 WICHERS DR",
            "city": "MARRERO",
            "state": "LA",
            "postal_code": "700723028",
            "telephone_number": "504-340-3248",
            "fax_number": "504-348-1154"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST BANK REHAB OPTION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-27",
        "last_updated": "2007-11-27",
        "status": "A",
        "authorized_official_last_name": "ANCIRA",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "504-891-8503",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "West Bank Rehab Option",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• West Jefferson Holdings LLC (West Jefferson Medical Center)
• West Jefferson Holdings LLC

• Mental Health Clinic/Center (Including Community Mental Health Center) in Marrero, LA
• Providers in Marrero, LA by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 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.