NPIMap

Organization Active NPI

Gulf States Long Term Acute Care of New Orleans, LLC

Doing business as Gulf States LTAC of New Orleans

  • Long Term Care Hospital
  • Kenner, LA
National Provider Identifier
1790850378
Registry record updated Feb 12, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care HospitalTaxonomy code 282E00000X
License
625 Issued in LA
Legal business name
GULF STATES LONG TERM ACUTE CARE OF NEW ORLEANS, LLC
Doing business as
Gulf States LTAC of New Orleans
Practice address
180 W Esplanade Ave
Fifth Floor
Kenner, LA 70065-2467
Phone
(504) 464-8590
Fax
(504) 464-8550
NPI assigned
Nov 21, 2006
Last updated
Feb 12, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2009

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

Authorized official

Name
Mr. Eugene E. Smith
Title
President
Phone
(225) 216-2299

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Special Hospital 284300000X 625 LA
Long Term Care Hospital 282E00000X 625 LA Primary

Addresses

Primary practice location

180 W Esplanade Ave
Fifth Floor
Kenner, LA 70065-2467

Mailing address

PO Box 641600
Kenner, LA 70064-1600
Phone (504) 464-8590

Other identifiers 1

IdentifierTypeStateIssuer
1702293MedicaidLA

Other names 1

  • Gulf States LTAC of New Orleans Doing business as

National Provider Directory

National Provider Directory

Locations

180 W Esplanade Ave
Fl Fifth
Kenner, LA 70065
Phone (504) 464-8590

NPI Registry JSON

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

{
    "created_epoch": "1164067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1234396800000",
    "number": "1790850378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 641600",
            "city": "KENNER",
            "state": "LA",
            "postal_code": "700641600",
            "telephone_number": "504-464-8590",
            "fax_number": "504-464-8550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 W ESPLANADE AVE",
            "address_2": "FIFTH FLOOR",
            "city": "KENNER",
            "state": "LA",
            "postal_code": "700652467",
            "telephone_number": "504-464-8590",
            "fax_number": "504-464-8550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GULF STATES LONG TERM ACUTE CARE OF NEW ORLEANS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-21",
        "last_updated": "2009-02-12",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "EUGENE",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "225-216-2299",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "284300000X",
            "taxonomy_group": "",
            "desc": "Special Hospital",
            "state": "LA",
            "license": "625",
            "primary": false
        },
        {
            "code": "282E00000X",
            "taxonomy_group": "",
            "desc": "Long Term Care Hospital",
            "state": "LA",
            "license": "625",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1702293",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gulf States LTAC of New Orleans",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kenner, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 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.