Richland Parish Rehabilitation Hospital, LLC

Primary specialty

Rehabilitation HospitalTaxonomy code 283X00000X

License

467 Issued in LA

Legal business name

RICHLAND PARISH REHABILITATION HOSPITAL, LLC

Practice address

307 Hayes St
Rayville, LA 71269-2531

Phone

(318) 728-4410

Fax

(318) 728-9844

NPI assigned

Jun 18, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Victor Varisco

Title

Managing Member

Phone

(337) 993-0993

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1801831417. Details of each certification follow.

• CCN 193075 Hospital · Terminated · Name & address match · Details

Hospital certification: CCN 193075

Legal name

RICHLAND PARISH REHABILITATION HOSPITA

Certification status

Terminated Voluntary: other reason for withdrawal, Apr 1, 2007

Provider type (POS)

Hospital – Rehabilitation

Participating since

Feb 8, 2002

Last certification

Feb 8, 2002

Beds

10

Ownership / control type

Private (for profit)

Facility address

307 Hayes St
Rayville, LA 71269

Locations

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

{
    "created_epoch": "1150588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1801831417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "307 HAYES ST",
            "city": "RAYVILLE",
            "state": "LA",
            "postal_code": "712692531",
            "telephone_number": "318-728-4410",
            "fax_number": "318-728-9844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "307 HAYES ST",
            "city": "RAYVILLE",
            "state": "LA",
            "postal_code": "712692531",
            "telephone_number": "318-728-4410",
            "fax_number": "318-728-9844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHLAND PARISH REHABILITATION HOSPITAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "VARISCO",
        "authorized_official_first_name": "VICTOR",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "337-993-0993"
    },
    "taxonomies": [
        {
            "code": "283X00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Hospital",
            "state": "LA",
            "license": "467",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1700533",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Richland Parish Hospital Service District No 1-B (Richardson Medical Center)
• Richland Parish Hospital Service District No 1-B (Richardson Medical Center)
• Richland Parish Hospital Service District No 1-B (Start Community Clinic)
• Richland Parish Hospital Service District No. 1-B (Family Health Clinic)
• Richland Parish Hospital Service District No. 1-B (RMC Specialty Clinic)
• Richland Parish School Board
• Richland Parish School Board
• Richland Therapy Services, LLC
• Latrice Roberts, MD
• Lametria Robinson

• Rehabilitation Hospital in Rayville, LA
• Providers in Rayville, LA by specialty
• Rehabilitation Hospital in Louisiana

• 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.