NPIMap

Organization Active NPI

Louisiana Health and Rehab Center Inc

  • Intellectual & Developmental Disabilities Psychologist
  • Baton Rouge, LA
National Provider Identifier
1801099825
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual & Developmental Disabilities PsychologistTaxonomy code 103TM1800X
License
SIL 9505 Issued in LA
Legal business name
LOUISIANA HEALTH AND REHAB CENTER INC
Practice address
1033 N Lobdell Ave
Baton Rouge, LA 70806-2233
Phone
(225) 231-2490
Fax
(225) 231-2857
NPI assigned
Jun 7, 2007
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
Ms. Soundra Johnson Temple
Title
Chief Executive Officer
Phone
(225) 938-0661

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual & Developmental Disabilities PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TM1800X SIL 9505 LA Primary

Addresses

Primary practice location

1033 N Lobdell Ave
Baton Rouge, LA 70806-2233

Mailing address

1033 N Lobdell Ave
Baton Rouge, LA 70806-2233
Phone (225) 231-2490

Other identifiers 1

IdentifierTypeStateIssuer
1152358MedicaidLA

National Provider Directory

National Provider Directory
Tax ID family
Louisiana Health and Rehab Center Inc12 organizations share this tax ID, including this one

Other organizations with this tax ID 11

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": "1181174400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1801099825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1033 N LOBDELL AVE",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708062233",
            "telephone_number": "225-231-2490",
            "fax_number": "225-231-2857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1033 N LOBDELL AVE",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708062233",
            "telephone_number": "225-231-2490",
            "fax_number": "225-231-2857"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOUISIANA HEALTH AND REHAB CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "TEMPLE",
        "authorized_official_first_name": "SOUNDRA",
        "authorized_official_middle_name": "JOHNSON",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "225-938-0661",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "103TM1800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Intellectual & Developmental Disabilities",
            "state": "LA",
            "license": "SIL 9505",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1152358",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Baton Rouge, 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.