Organization Active NPI

St. John's Specialty Hospital, LLC

Doing business as St. John's Specialty Hospital

  • Rehabilitation Hospital
  • Harahan, LA
National Provider Identifier
1639144694
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation HospitalTaxonomy code 283X00000X
License
442 Issued in LA
Legal business name
ST. JOHN'S SPECIALTY HOSPITAL, LLC
Doing business as
St. John's Specialty Hospital
Practice address
405 Folse St
Harahan, LA 70123-3671
Phone
(504) 738-3339
Fax
(504) 739-9202
NPI assigned
Feb 22, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Dean Dranguet
Title
Office Manager
Phone
(225) 767-7550

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Hospital 283X00000X 442 LA Primary

Addresses

Primary practice location

405 Folse St
Harahan, LA 70123-3671

Mailing address

10715 N Oak Hills Pkwy
Baton Rouge, LA 70810-2862
Phone (225) 767-7550

Other identifiers 1

IdentifierTypeStateIssuer
1767786MedicaidLA

Other names 1

  • St. John's Specialty Hospital Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

Hospital certification: CCN 193061

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
ST JOHN'S SPECIALTY HOSPITAL
Certification status
Terminated Voluntary: merger or closure, Sep 30, 2007
Provider type (POS)
Hospital – Rehabilitation
Participating since
Dec 12, 2000
Last certification
Dec 12, 2000
Beds
26 (11 certified)
Ownership / control type
Private (for profit)
Facility address
405 Folse Street
Harahan, LA 70123

National Provider Directory

National Provider Directory

Locations

10715 N Oak Hills Pkwy
Baton Rouge, LA 70810

NPI Registry JSON

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

{
    "created_epoch": "1140566400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1639144694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10715 N OAK HILLS PKWY",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708102862",
            "telephone_number": "225-767-7550",
            "fax_number": "225-767-7601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 FOLSE ST",
            "city": "HARAHAN",
            "state": "LA",
            "postal_code": "701233671",
            "telephone_number": "504-738-3339",
            "fax_number": "504-739-9202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. JOHN'S SPECIALTY HOSPITAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DRANGUET",
        "authorized_official_first_name": "DEAN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "225-767-7550",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "283X00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Hospital",
            "state": "LA",
            "license": "442",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1767786",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "St. John's Specialty Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Harahan, LA

Sources for this page

Verify at the official NPI Registry.