Organization Active NPI

Camillus Specialty Hospital LLC

  • Long Term Care Hospital
  • Gretna, LA
National Provider Identifier
1437467305
Registry record updated Oct 25, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care HospitalTaxonomy code 282E00000X
Legal business name
CAMILLUS SPECIALTY HOSPITAL LLC
Practice address
535 Commerce St
Ste B
Gretna, LA 70056-7316
Phone
(504) 391-1500
Fax
(504) 391-1501
NPI assigned
Sep 14, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2011

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

Authorized official

Name
Mr. Daniel J Daigle
Title
Manager
Phone
(504) 841-2209

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Hospital 282E00000X Primary

Addresses

Primary practice location

535 Commerce St
Ste B
Gretna, LA 70056-7316

Mailing address

804 N Causeway Blvd
Ste a
Metairie, LA 70001-5364
Phone (504) 841-2209

Other names 1

  • Crescent City Specialty Hospital Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

Hospital certification: CCN 192014

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
CRESCENT CITY SPECIALTY HOSPITAL
Certification status
Terminated Voluntary: merger or closure, Oct 31, 2012
Provider type (POS)
Hospital – Long-term
Participating since
Mar 1, 1995
Last certification
Aug 27, 2008
Beds
27
Ownership / control type
Private (for profit)
Most recent change of ownership
Aug 1, 2010 (3 total)
Facility address
535 Commerce Street, Ste B
Gretna, LA 70056

National Provider Directory

National Provider Directory

Locations

804 N Causeway Blvd
Ste A
Metairie, LA 70001

NPI Registry JSON

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

{
    "created_epoch": "1284422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1319500800000",
    "number": "1437467305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "804 N CAUSEWAY BLVD",
            "address_2": "STE A",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700015364",
            "telephone_number": "504-841-2209",
            "fax_number": "504-828-8025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "535 COMMERCE ST",
            "address_2": "STE B",
            "city": "GRETNA",
            "state": "LA",
            "postal_code": "700567316",
            "telephone_number": "504-391-1500",
            "fax_number": "504-391-1501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAMILLUS SPECIALTY HOSPITAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-14",
        "last_updated": "2011-10-25",
        "status": "A",
        "authorized_official_last_name": "DAIGLE",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "504-841-2209",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "282E00000X",
            "taxonomy_group": "",
            "desc": "Long Term Care Hospital",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Crescent City Specialty Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Gretna, LA

Sources for this page

Verify at the official NPI Registry.