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Organization Active NPI

Baton Rouge Rehabilitation Hospital LLC

  • Rehabilitation Hospital
  • Baton Rouge, LA
National Provider Identifier
1699749531
Registry record updated Jun 14, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation HospitalTaxonomy code 283X00000X
License
312 Issued in LA
Legal business name
BATON ROUGE REHABILITATION HOSPITAL LLC
Practice address
8595 United Plaza Blvd
Baton Rouge, LA 70809
Phone
(225) 927-0567
Fax
(225) 928-0317
NPI assigned
Feb 16, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2010

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

Authorized official

Name
Ms. Dianne E Viator
Title
Manager
Phone
(225) 237-1540

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Hospital 283X00000X 312 LA Primary

Addresses

Primary practice location

8595 United Plaza Blvd
Baton Rouge, LA 70809

Mailing address

8490 Picardy Ave
Baton Rouge, LA 70809
Phone (225) 237-1505

Other identifiers 2

IdentifierTypeStateIssuer
60950OtherBLUE CROSS
1747670MedicaidLA

Other names 1

  • Baton Rouge Rehab Hospital Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100312000277 LA Part A Provider - Hospital 2163557430 Practice locations: Baton Rouge, LA

Hospital certification: CCN 193028

Legal name
BATON ROUGE REHABILITATION HOSPITAL LLC
Doing business as
BATON ROUGE REHAB HOSPITAL
Certification status
Active
Provider type (POS)
Hospital – Rehabilitation
Participating since
Jun 5, 1989
Last certification
Jun 7, 2023
Beds
81
Ownership / control type
Private (for profit)
Organization structure
LLCProprietary
Incorporated
Jan 29, 2010 in LA
Enrollment address
8595 United Plaza Blvd
Baton Rouge Rehab Hospital
Baton Rouge, LA 70809-2251
Hospital Rehabilitation Unit
Hospital subgroups
Rehabilitation unit

Care Compare: Inpatient rehabilitation facility

Medicare Care Compare
Listed as
Baton Rouge Rehab HospitalCCN 193028
Ownership
For profit
Certified
Jun 5, 1989
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory
Tax ID family
Baton Rouge Rehabilitation Hospital3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

8490 Picardy Ave
Baton Rouge, LA 70809
Phone (225) 819-1175

Ownership & related parties

All disclosed owners & managing parties 9

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Broc Rehab, LLC Organization, Baton Rouge, LA 5% Or Greater Direct Ownership Interest Jan 29, 2010
Samuel E Williamson Individual Operational/Managerial ControlDirector of the Board Jan 29, 2010 45%
Kendall a Johnson Individual 5% Or Greater Direct Ownership Interest Jan 29, 2010
Behavioral Health Inc Organization, Baton Rouge, LA LLC 5% Or Greater Direct Ownership Interest Jan 29, 2010 45%
Venkatram R Banda Individual 5% Or Greater Direct Ownership Interest Jan 29, 2010
Lindsay Shelton Individual W-2 Managing EmployeeDirector of Financial Operations Apr 5, 2022
Reginald B Griffith Individual 5% Or Greater Direct Ownership Interest Jan 29, 2010
HMG Physicians LLC Organization, Baton Rouge, LA 5% Or Greater Direct Ownership Interest Jan 29, 2010
Trisha Guidry Individual W-2 Managing Employee Nov 22, 2016

Owners & managing parties with NPI records 2

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Facilities with the same owner 1

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Affiliated clinicians 13

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1140048000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1276473600000",
    "number": "1699749531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8490 PICARDY AVE",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "70809",
            "telephone_number": "225-237-1505",
            "fax_number": "225-237-1623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8595 UNITED PLAZA BLVD",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "70809",
            "telephone_number": "225-927-0567",
            "fax_number": "225-928-0317"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BATON ROUGE REHABILITATION HOSPITAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-16",
        "last_updated": "2010-06-14",
        "status": "A",
        "authorized_official_last_name": "VIATOR",
        "authorized_official_first_name": "DIANNE",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "225-237-1540",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "283X00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Hospital",
            "state": "LA",
            "license": "312",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "60950",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1747670",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Baton Rouge Rehab Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Baton Rouge, LA

Sources for this page

Verify at the official NPI Registry.