Organization Active NPI

Louisiana Cni, LLC

Doing business as Louisiana CNI - Southpark

  • Intellectual Disabilities Intermediate Care Facility
  • Baton Rouge, LA
National Provider Identifier
1689771008
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X
License
893 Issued in LA
Legal business name
LOUISIANA CNI, LLC
Doing business as
Louisiana CNI - Southpark
Practice address
4236 Southpark Dr
Baton Rouge, LA 70816-4143
Phone
(225) 291-5544
Fax
(225) 273-4305
NPI assigned
Sep 20, 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
Toni Rizzo
Title
General Manager
Phone
(225) 272-2090

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual Disabilities Intermediate Care Facility 315P00000X 893 LA Primary

Addresses

Primary practice location

4236 Southpark Dr
Baton Rouge, LA 70816-4143

Mailing address

12009 Florida Blvd
Baton Rouge, LA 70815-2702
Phone (225) 272-2090

Other identifiers 1

IdentifierTypeStateIssuer
1718793MedicaidLA

Other names 1

  • Louisiana CNI - Southpark Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Louisiana Cni25 organizations share this tax ID, including this one

Other organizations with this tax ID 24

Organizations that report the same tax identification number in the National Provider Directory.

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1689771008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12009 FLORIDA BLVD",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708152702",
            "telephone_number": "225-272-2090",
            "fax_number": "225-273-4305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4236 SOUTHPARK DR",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708164143",
            "telephone_number": "225-291-5544",
            "fax_number": "225-273-4305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOUISIANA CNI, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RIZZO",
        "authorized_official_first_name": "TONI",
        "authorized_official_title_or_position": "GENERAL MANAGER",
        "authorized_official_telephone_number": "225-272-2090"
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": "LA",
            "license": "893",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1718793",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Louisiana CNI - Southpark",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Baton Rouge, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.