Riversouth Rehabilitation Center, Inc.

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

RIVERSOUTH REHABILITATION CENTER, INC.

Practice address

410 S Franklin St
Bastrop, LA 71220-4533

Phone

(318) 410-1062

NPI assigned

Jan 29, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Ashley Lynn Eubanks

Title

Billing

Phone

(318) 410-1062

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• N/A Doing business as

Tax ID family

Riversouth Rehabilitation Centerinc3 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.

• Riversouth Rehabilitation Center,Inc

  • Non-emergency Medical Transport (VAN)
  • Monroe, LA
  • NPI 1700094711
  NPD tax ID
• Riversouth Rehabilitation Center,Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Monroe, LA
  • NPI 1669689634
  NPD tax ID

Locations

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

{
    "created_epoch": "1170028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1460592000000",
    "number": "1447396247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 N 9TH ST",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712015513",
            "telephone_number": "318-410-1062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 S FRANKLIN ST",
            "city": "BASTROP",
            "state": "LA",
            "postal_code": "712204533",
            "telephone_number": "318-410-1062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVERSOUTH REHABILITATION CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-29",
        "last_updated": "2016-04-14",
        "status": "A",
        "authorized_official_last_name": "EUBANKS",
        "authorized_official_first_name": "ASHLEY",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "BILLING",
        "authorized_official_telephone_number": "318-410-1062",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "LA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1565563",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1529079",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "N/A",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Resilient Solutions
• Kia Rhodes
• Richard R. Russell, O.D.
• Milan Richard
• Tracey Butler Rios, OT
• Robert E Lyon Internal Medicine, Inc
• Robert E Lyon Internal Medicine, Inc.
• Kiantre Robinson
• Richard Rawls Russell, O.D.
• Curtis Sanders, M.D.

• Community/Behavioral Health Agency in Bastrop, LA
• Providers in Bastrop, LA by specialty
• Community/Behavioral Health Agency in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2016; 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.