Active NPI
Camillus Specialty Hospital LLC
- Long Term Care Hospital
- Gretna, LA
National Provider Identifier
1437467305
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Long Term Care Hospital
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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 DirectoryLocations
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.