NPIMap

Organization Active NPI

Tass Brain Injury Rehabilitation Center

  • Nursing Facility/Intermediate Care Facility
  • Ponchatoula, LA
National Provider Identifier
1538438015
Registry record updated Dec 29, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X
License
005 Issued in LA
Legal business name
TASS BRAIN INJURY REHABILITATION CENTER
Practice address
42215 Pleasant RG Ext
Ponchatoula, LA 70454-4723
Phone
(985) 370-0323
Fax
(985) 370-0324
NPI assigned
Dec 29, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2011

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

Authorized official

Name
Suzanne Lentz
Title
Director/Owner
Phone
(985) 370-0323

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Facility/Intermediate Care Facility 313M00000X 005 LA Primary

Addresses

Primary practice location

42215 Pleasant RG Ext
Ponchatoula, LA 70454-4723

Mailing address

42215 Pleasant RG Ext
Ponchatoula, LA 70454-4723
Phone (985) 370-0323

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1325116800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1325116800000",
    "number": "1538438015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42215 PLEASANT RG EXT",
            "city": "PONCHATOULA",
            "state": "LA",
            "postal_code": "704544723",
            "telephone_number": "985-370-0323",
            "fax_number": "985-370-0324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42215 PLEASANT RG EXT",
            "city": "PONCHATOULA",
            "state": "LA",
            "postal_code": "704544723",
            "telephone_number": "985-370-0323",
            "fax_number": "985-370-0324"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TASS BRAIN INJURY REHABILITATION CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-29",
        "last_updated": "2011-12-29",
        "status": "A",
        "authorized_official_last_name": "LENTZ",
        "authorized_official_first_name": "SUZANNE",
        "authorized_official_title_or_position": "DIRECTOR/OWNER",
        "authorized_official_telephone_number": "985-370-0323"
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "LA",
            "license": "005",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ponchatoula, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2011; 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.