Organization Active NPI

Rehabilitation Services of Louisiana, LLC

  • Community/Behavioral Health Agency
  • Winnsboro, LA
National Provider Identifier
1508301912
Registry record updated Dec 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
REHABILITATION SERVICES OF LOUISIANA, LLC
Practice address
2401 West St
Winnsboro, LA 71295-3842
Phone
(318) 435-4651
NPI assigned
Dec 21, 2016
Organization subpart
No

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

National Provider Directory

Locations

2401 West St
Winnsboro, LA 71295
Phone (318) 435-4651

NPPES NPI Registry

Updated by the provider on Dec 21, 2016

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

Authorized official

Name
Christopher Quentin Mudd, MPA
Title
Ceo
Phone
(318) 742-3408

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

2401 West St
Winnsboro, LA 71295-3842

Mailing address

816 Benton Rd
Bossier City, LA 71111-3744

NPI Registry JSON

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

{
    "created_epoch": "1482278400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1482278400000",
    "number": "1508301912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "816 BENTON RD",
            "city": "BOSSIER CITY",
            "state": "LA",
            "postal_code": "711113744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2401 WEST ST",
            "city": "WINNSBORO",
            "state": "LA",
            "postal_code": "712953842",
            "telephone_number": "318-435-4651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REHABILITATION SERVICES OF LOUISIANA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-21",
        "last_updated": "2016-12-21",
        "status": "A",
        "authorized_official_last_name": "MUDD",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "QUENTIN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "318-742-3408",
        "authorized_official_credential": "MPA"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winnsboro, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 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.