Organization Active NPI

St. John'S Specialty Hospital, LLC

  • Skilled Nursing Facility
  • Harahan, LA
National Provider Identifier
1770522575
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
442 Issued in LA
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

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
(601) 853-2667

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1767786MedicaidLA

Other names 1

  • St. John's Specialty Hospital Doing business as

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.