Active NPI
St. John'S Specialty Hospital, LLC
- Skilled Nursing Facility
- Harahan, LA
National Provider Identifier
1770522575
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 442
- Legal business name
- ST. JOHN'S SPECIALTY HOSPITAL, LLC
- Practice address
- 405 Folse St
Harahan, LA 70123-3671 - Phone
- (504) 738-3339
- Fax
- (504) 739-9202
- NPI assigned
- Jun 6, 2006
- Organization subpart
- No
NPPES NPI Registry
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
- (601) 853-2667
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 442 | LA | Primary |
Addresses
Primary practice location
405 Folse St
Harahan, LA 70123-3671
Mailing address
405 Folse St
Harahan, LA 70123-3671
Phone (504) 738-3339
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1767786 | Medicaid | LA |
Other names 1
- St. John's Specialty Hospital
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149552000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1770522575",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"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"
},
{
"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": "2006-06-06",
"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": "601-853-2667",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"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
- 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.