Louisiana Rehab Products Inc.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

LOUISIANA REHAB PRODUCTS INC.

Practice address

2424 Williams Blvd
Suite C
Kenner, LA 70062-5763

Phone

(504) 468-6100

Fax

(504) 468-6109

NPI assigned

Oct 28, 2006

Last updated

Mar 24, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Ricky Walter Decastro Sr.

Title

Owner/President

Phone

(504) 468-6100

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

Tax ID family

Louisiana Rehab Products Inc3 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.

• Louisiana Rehab Products Inc

  • Prosthetic/Orthotic Supplier
  • Baton Rouge, LA
  • NPI 1891033403
  NPD tax ID
• Louisiana Rehab Products Inc

  • Prosthetic/Orthotic Supplier
  • Kenner, LA
  • NPI 1962839134
  NPD tax ID

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

{
    "created_epoch": "1161993600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1300924800000",
    "number": "1457437816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2424 WILLIAMS BLVD",
            "address_2": "SUITE C",
            "city": "KENNER",
            "state": "LA",
            "postal_code": "700625763",
            "telephone_number": "504-468-6100",
            "fax_number": "504-468-6109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2424 WILLIAMS BLVD",
            "address_2": "SUITE C",
            "city": "KENNER",
            "state": "LA",
            "postal_code": "700625763",
            "telephone_number": "504-468-6100",
            "fax_number": "504-468-6109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOUISIANA REHAB PRODUCTS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-28",
        "last_updated": "2011-03-24",
        "status": "A",
        "authorized_official_last_name": "DECASTRO",
        "authorized_official_first_name": "RICKY",
        "authorized_official_middle_name": "WALTER",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "504-468-6100",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Sr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD OF LOUISIANA",
            "identifier": "77610",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1998214",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Louisiana CVS Pharmacy, L.L.C. (CVS Pharmacy #05333)
• Louisiana Dental Professionals, Donovan Dronet, DDS, a Professional de (James Crouch DDS)
• Louisiana Pain Specialists LLC
• Louisiana Pain Specialists, LLC
• Louisiana Rehab Products Inc
• Louisiana State University School of Medicine in New Orleans Faculty (Lsu Healthcare Network - Kenner)
• Louisiana State University School of Medicine in New Orleans Faculty G (Lsu Healthcare Network)
• Louisiana State University School of Medicine in New Orleans Faculty G (New Orleans Lsu Anesthesia)
• Lourdes Murra MD
• Hanna Kaufman Lurye

• Durable Medical Equipment & Medical Supplies in Kenner, LA
• Providers in Kenner, LA by specialty
• Durable Medical Equipment & Medical Supplies in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.