NPIMap

Organization Active NPI

Baton Rouge General Medical Center

  • Rehabilitation Hospital Unit
  • Baton Rouge, LA
National Provider Identifier
1811023823
Registry record updated Jul 21, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Hospital UnitTaxonomy code 273Y00000X
License
284 Issued in LA
Legal business name
BATON ROUGE GENERAL MEDICAL CENTER
Practice address
3600 Florida Blvd
Baton Rouge, LA 70806-3842
Phone
(225) 387-7000
Fax
(225) 381-6129
NPI assigned
Feb 26, 2007
Last updated
Jul 21, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2017

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

Authorized official

Name
Dionne E Viator, CPA, FACHE
Title
Sr VP and Cfo
Phone
(225) 763-1540

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Hospital Unit 273Y00000X 284 LA Primary

Addresses

Primary practice location

3600 Florida Blvd
Baton Rouge, LA 70806-3842

Mailing address

3600 Florida Blvd
Baton Rouge, LA 70806-3842
Phone (225) 387-7000

Other identifiers 14

IdentifierTypeStateIssuer
1900065MedicaidNC
40-4683087MedicaidMI
2594830MedicaidOH
73786MedicaidMN
000713688MedicaidGA
108819701MedicaidTX
XHSP41803MedicaidCA
LHVI10OtherUNITED HEALTHCARE
371609MedicaidAR
90065OtherLABLUE CROSS
1720020MedicaidLA
904221100MedicaidFL
30-4683078MedicaidMI
BRG 0065NMedicaidAL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080520000128 LA Part A Provider - Hospital 4082600077 Practice locations: Baton Rouge, LA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1811023823. Details of each certification follow.

Hospital certification: CCN 19T065

Legal name
BATON ROUGE GENERAL MEDICAL CENTER
Organization structure
CorporationNon-profit
Incorporated
Aug 15, 1983 in LA
Enrollment address
3600 Florida Blvd
Baton Rouge, LA 70806-3842
Hospital Rehabilitation Unit
Hospital subgroups
Rehabilitation unit

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 5

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Inpatient rehabilitation facility

Medicare Care Compare
Listed as
Baton Rouge General Medical CenterCCN 19T065 · All quality measures
Ownership
Non-profit
Certified
Oct 1, 1992

National Provider Directory

National Provider Directory
Tax ID family
Family Health Center12 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.

Ownership & related parties

All disclosed owners & managing parties 19

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Edgardo Tenreiro Individual Corporate OfficerCeo Oct 1, 2009
Joe Juban Individual Corporate Director Oct 1, 2012
Roy Kadair Individual Corporate Director Oct 1, 2006
Louis R Minsky Individual Corporate Director Apr 1, 2018
Edgar Starns Individual Corporate Director Apr 1, 2018
Phyliss McLaurin Individual Corporate Director Jan 1, 2014
Kendall a Johnson Individual Corporate DirectorCfo Jun 27, 2011 100%
W-2 Managing EmployeeCfo Jun 27, 2011 100%
Venkatram R Banda Individual Corporate Director Jan 1, 2011
Lindsay Shelton Individual W-2 Managing Employee Apr 1, 2018
Carolyn Braud Individual W-2 Managing Employee Jul 20, 2007 100%
Isabelina Nahmens Individual Corporate Director Jan 1, 2014
Andrew Johnson Olinde Individual Corporate Director Jan 1, 2011
Perry Franklin Individual Corporate Director Jan 1, 2010
General Health System Organization, Baton Rouge, LA Corporation 5% Or Greater Direct Ownership Interest Oct 1, 2006
Gary Graphia Individual Corporate Director Oct 1, 2011
Gwen Hamilton Individual Corporate Director Apr 1, 2018
Margaret Hart Individual Corporate Director Jan 1, 2011
Ronnie Williams Individual Corporate Director Oct 1, 2011
Brian Jackson Individual Corporate Director Apr 1, 2018

Owners & managing parties with NPI records 4

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Facilities with the same owner 4

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Affiliated clinicians 3

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1172448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1500595200000",
    "number": "1811023823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3600 FLORIDA BLVD",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708063842",
            "telephone_number": "225-387-7000",
            "fax_number": "225-381-6129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3600 FLORIDA BLVD",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708063842",
            "telephone_number": "225-387-7000",
            "fax_number": "225-381-6129"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BATON ROUGE GENERAL MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-26",
        "last_updated": "2017-07-21",
        "status": "A",
        "authorized_official_last_name": "VIATOR",
        "authorized_official_first_name": "DIONNE",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "SR VP AND CFO",
        "authorized_official_telephone_number": "225-763-1540",
        "authorized_official_credential": "CPA, FACHE"
    },
    "taxonomies": [
        {
            "code": "273Y00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Unit",
            "state": "LA",
            "license": "284",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1900065",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "40-4683087",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2594830",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "73786",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000713688",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "108819701",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "XHSP41803",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "LHVI10",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "371609",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "90065",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1720020",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "904221100",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30-4683078",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "BRG 0065N",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Baton Rouge, LA

Sources for this page

Verify at the official NPI Registry.