NPIMap

Organization Active NPI

Halcyon Rehab

  • Adult Care Home Facility
  • Denham Springs, LA
National Provider Identifier
1558726828
Registry record updated Dec 30, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
License
A8334 Issued in LA
Legal business name
HALCYON REHAB
Practice address
36020 Wilmington Ave
Denham Springs, LA 70706-1523
Phone
(504) 287-6802
NPI assigned
Dec 30, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2015

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

Authorized official

Name
Joseph John Broggi
Title
Pta
Phone
(504) 287-6802

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Care Home Facility 311ZA0620X A8334 LA Primary

Addresses

Primary practice location

36020 Wilmington Ave
Denham Springs, LA 70706-1523

Mailing address

36020 Wilmington Ave
Denham Springs, LA 70706-1523
Phone (504) 287-6802

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1451433600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1451433600000",
    "number": "1558726828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36020 WILMINGTON AVE",
            "city": "DENHAM SPRINGS",
            "state": "LA",
            "postal_code": "707061523",
            "telephone_number": "504-287-6802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36020 WILMINGTON AVE",
            "city": "DENHAM SPRINGS",
            "state": "LA",
            "postal_code": "707061523",
            "telephone_number": "504-287-6802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HALCYON REHAB",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-30",
        "last_updated": "2015-12-30",
        "status": "A",
        "authorized_official_last_name": "BROGGI",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "PTA",
        "authorized_official_telephone_number": "504-287-6802"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "LA",
            "license": "A8334",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denham Springs, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2015; 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.