Patriot Rehab Services-New Iberia, LLC

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

Legal business name

PATRIOT REHAB SERVICES-NEW IBERIA, LLC

Doing business as

Patriot Rehab Services-New Iberia

Practice address

532 Jefferson Ter
New Iberia, LA 70560-4948

Phone

(337) 654-3980

NPI assigned

Jan 16, 2023

Organization subpart

No

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

Authorized official

Name

James Morgan

Title

Coo

Phone

(337) 603-8130

Specialties & licenses 1

Addresses

Other names 1

• Patriot Rehab Services-New Iberia Doing business as

Electronic endpoints 1

Locations

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

{
    "created_epoch": "1673827200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681257600000",
    "number": "1487369302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8280 YMCA PLAZA DR STE B",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708100927",
            "telephone_number": "225-970-7070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "532 JEFFERSON TER",
            "city": "NEW IBERIA",
            "state": "LA",
            "postal_code": "705604948",
            "telephone_number": "337-654-3980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATRIOT REHAB SERVICES-NEW IBERIA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-16",
        "last_updated": "2023-04-12",
        "certification_date": "2023-04-12",
        "status": "A",
        "authorized_official_last_name": "MORGAN",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "337-603-8130"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jmorgan@sunhc.net",
            "affiliation": "N",
            "address_1": "532 Jefferson Ter",
            "city": "New Iberia",
            "state": "LA",
            "country_code": "US",
            "postal_code": "705604948",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Patriot Rehab Services-New Iberia",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Patriot Rehab Services-New Iberia",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Paramount Healthcare Consultants -New Iberia LLC (Consolata Rehab and Wellness Center on the Teche)
• Parish State Emergency Physicians LLC
• Lexie Range Mouton Pascual, MS
• Reshma Patel, PHARM.D.
• Venetia Marie Nicole Patout, MD
• Barbara Patterson
• Paul H. Gulotta, Jr., M.D., a.P.M.C.
• Alexandra Pellerin
• Amy Katherine Pennington, M.S., CCC-SLP
• Cynthia L Perez

• Substance Abuse Rehabilitation Facility in New Iberia, LA
• Providers in New Iberia, LA by specialty
• Substance Abuse Rehabilitation Facility in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2023; 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.