Organization Active NPI

American Active Rehab Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Gretna, LA
National Provider Identifier
1780720839
Registry record updated Jun 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
AMERICAN ACTIVE REHAB INC
Practice address
401 Whitney Ave
Suite 523
Gretna, LA 70056-2558
Phone
(504) 263-1403
Fax
(504) 263-1423
NPI assigned
Jan 29, 2007
Last updated
Jun 23, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2023

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

Authorized official

Name
Mrs. Rita Chinwe Ekenta, J.D.
Title
Ceo
Phone
(504) 263-1403

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary
Community/Behavioral Health Agency 251S00000X

Addresses

Primary practice location

401 Whitney Ave
Suite 523
Gretna, LA 70056-2558

Mailing address

401 Whitney Ave Ste 320
Gretna, LA 70056-2502
Phone (504) 263-1403

Other identifiers 1

IdentifierTypeStateIssuer
1150363MedicaidLA

National Provider Directory

National Provider Directory

Locations

401 Whitney Ave
Ste 320
Gretna, LA 70056
Phone (504) 263-1403

401 Whitney Ave
Ste 523
Gretna, LA 70056
Phone (504) 263-1403

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1170028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687478400000",
    "number": "1780720839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 WHITNEY AVE STE 320",
            "city": "GRETNA",
            "state": "LA",
            "postal_code": "700562502",
            "telephone_number": "504-263-1403",
            "fax_number": "504-263-1423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 WHITNEY AVE",
            "address_2": "SUITE 523",
            "city": "GRETNA",
            "state": "LA",
            "postal_code": "700562558",
            "telephone_number": "504-263-1403",
            "fax_number": "504-263-1423"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMERICAN ACTIVE REHAB INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-29",
        "last_updated": "2023-06-23",
        "certification_date": "2023-06-23",
        "status": "A",
        "authorized_official_last_name": "EKENTA",
        "authorized_official_first_name": "RITA",
        "authorized_official_middle_name": "CHINWE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "504-263-1403",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "J.D."
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1150363",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gretna, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2023; 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.