Organization Active NPI

Louisiana Re-Entry & Rehabilitation Services

  • Community/Behavioral Health Agency
  • New Orleans, LA
National Provider Identifier
1770721730
Registry record updated Jan 29, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
406 Issued in LA
Legal business name
LOUISIANA RE-ENTRY & REHABILITATION SERVICES
Practice address
1628 Carondelet St
New Orleans, LA 70130-4454
Phone
(504) 595-5015
Fax
(504) 595-5019
NPI assigned
Jan 29, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2009

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

Authorized official

Name
Mr. Reginald Duvor Stewman
Title
President
Phone
(504) 595-5015

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 406 LA Primary

Addresses

Primary practice location

1628 Carondelet St
New Orleans, LA 70130-4454

Mailing address

1628 Carondelet Street
New Orleans, LA 70130-4454
Phone (504) 595-5015

Other identifiers 1

IdentifierTypeStateIssuer
653435OtherLAMHSD

National Provider Directory

National Provider Directory
Tax ID family
Louisiana Re-Entry Rehabilitation Services3 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.

NPI Registry JSON

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

{
    "created_epoch": "1233187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1233187200000",
    "number": "1770721730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1628 CARONDELET STREET",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701304454",
            "telephone_number": "504-595-5015",
            "fax_number": "504-595-5019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1628 CARONDELET ST",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701304454",
            "telephone_number": "504-595-5015",
            "fax_number": "504-595-5019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOUISIANA RE-ENTRY & REHABILITATION SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-29",
        "last_updated": "2009-01-29",
        "status": "A",
        "authorized_official_last_name": "STEWMAN",
        "authorized_official_first_name": "REGINALD",
        "authorized_official_middle_name": "DUVOR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "504-595-5015",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "LA",
            "license": "406",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MHSD",
            "identifier": "653435",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Orleans, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2009; 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.