NPIMap

Organization Active NPI

Louisiana Re-Entry & Rehabilitation Services- West Monroe

  • Community/Behavioral Health Agency
  • West Monroe, LA
National Provider Identifier
1407094253
Registry record updated Feb 2, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
1104 Issued in LA
Legal business name
LOUISIANA RE-ENTRY & REHABILITATION SERVICES- WEST MONROE
Practice address
1301 Thomas Rd
Suite D
West Monroe, LA 71292-5816
Phone
(318) 322-3349
Fax
(318) 322-3855
NPI assigned
Feb 2, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2009

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

Authorized official

Name
Mr. Reginald Duvon Stewman
Title
President
Phone
(225) 247-2499

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 1104 LA Primary

Addresses

Primary practice location

1301 Thomas Rd
Suite D
West Monroe, LA 71292-5816

Mailing address

1301 Thomas Rd
Suite D
West Monroe, LA 71292-5816
Phone (318) 322-3349

Other identifiers 1

IdentifierTypeStateIssuer
653435WMOtherLAMHSD

National Provider Directory

National Provider Directory
Tax ID family
Louisiana Re-Entry Rehabilitation Services3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

1301 Thomas Rd
Ste D
West Monroe, LA 71292
Phone (318) 322-3349

NPI Registry JSON

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

{
    "created_epoch": "1233532800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1233532800000",
    "number": "1407094253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 THOMAS RD",
            "address_2": "SUITE D",
            "city": "WEST MONROE",
            "state": "LA",
            "postal_code": "712925816",
            "telephone_number": "318-322-3349",
            "fax_number": "318-322-3855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 THOMAS RD",
            "address_2": "SUITE D",
            "city": "WEST MONROE",
            "state": "LA",
            "postal_code": "712925816",
            "telephone_number": "318-322-3349",
            "fax_number": "318-322-3855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOUISIANA RE-ENTRY & REHABILITATION SERVICES- WEST MONROE",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-02",
        "last_updated": "2009-02-02",
        "status": "A",
        "authorized_official_last_name": "STEWMAN",
        "authorized_official_first_name": "REGINALD",
        "authorized_official_middle_name": "DUVON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "225-247-2499",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "LA",
            "license": "1104",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MHSD",
            "identifier": "653435WM",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Monroe, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 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.