NPIMap

Organization Active NPI

St Charles Specialty Rehabilitation Hospital LLC

  • Rehabilitation Hospital
  • Denham Springs, LA
National Provider Identifier
1609891118
Registry record updated Jan 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation HospitalTaxonomy code 283X00000X
License
439 Issued in LA
Legal business name
ST CHARLES SPECIALTY REHABILITATION HOSPITAL LLC
Practice address
8375 Florida Blvd
Suite B
Denham Springs, LA 70726-7806
Phone
(225) 665-7100
Fax
(225) 665-7105
NPI assigned
Jul 13, 2006
Last updated
Jan 11, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2022

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

Authorized official

Name
Dr. Juanita Bates BondsNPI 1952913824
Title
Administrator
Phone
(470) 626-3295

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Hospital 283X00000X 439 LA Primary

Addresses

Primary practice location

8375 Florida Blvd
Suite B
Denham Springs, LA 70726-7806

Mailing address

210 Baronne St Apt 716
New Orleans, LA 70112-1745
Phone (470) 626-3295

Other identifiers 2

IdentifierTypeStateIssuer
1767760MedicaidLA
60231OtherLABLUE CROSS BLUE SHIELD

Other names 1

  • Luling Rehabilitation Hospital LLC Former legal business name

National Provider Directory

National Provider Directory

Locations

8369 Florida Blvd
Ste B
Denham Springs, LA 70726
Phone (225) 665-7100

8375 Florida Blvd
Ste B
Denham Springs, LA 70726
Phone (225) 665-7100

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1152748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1641859200000",
    "number": "1609891118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 BARONNE ST APT 716",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701121745",
            "telephone_number": "470-626-3295",
            "fax_number": "225-224-6238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8375 FLORIDA BLVD",
            "address_2": "SUITE B",
            "city": "DENHAM SPRINGS",
            "state": "LA",
            "postal_code": "707267806",
            "telephone_number": "225-665-7100",
            "fax_number": "225-665-7105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST CHARLES SPECIALTY REHABILITATION HOSPITAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-13",
        "last_updated": "2022-01-11",
        "certification_date": "2022-01-11",
        "status": "A",
        "authorized_official_last_name": "BONDS",
        "authorized_official_first_name": "JUANITA",
        "authorized_official_middle_name": "BATES",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "470-626-3295",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "283X00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Hospital",
            "state": "LA",
            "license": "439",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1767760",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "60231",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Luling Rehabilitation Hospital LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Luling Rehabilitation Hospital LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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 Jan 11, 2022; 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.