NPIMap

Organization Active NPI

Premier Rehab

  • Adult Care Home Facility
  • Gonzales, LA
National Provider Identifier
1811292865
Registry record updated Jan 24, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
License
01007 Issued in LA
Legal business name
PREMIER REHAB
Practice address
211 E Worthy St BLDG 4
Gonzales, LA 70737-4232
Phone
(225) 644-7044
Fax
(225) 644-4414
NPI assigned
Jan 24, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2011

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

Authorized official

Name
Mrs. Bridget Redmond
Title
Ceo
Phone
(225) 644-7044

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Care Home Facility 311ZA0620X 01007 LA Primary

Addresses

Primary practice location

211 E Worthy St BLDG 4
Gonzales, LA 70737-4232

Mailing address

211 E Worthy St BLDG 4
Gonzales, LA 70737-4232
Phone (225) 644-7044

National Provider Directory

National Provider Directory
Tax ID family
Premier Rehab LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

211 E Worthy St
Bldg 4
Gonzales, LA 70737
Phone (225) 644-7044

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1295827200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1295827200000",
    "number": "1811292865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 E WORTHY ST BLDG 4",
            "city": "GONZALES",
            "state": "LA",
            "postal_code": "707374232",
            "telephone_number": "225-644-7044",
            "fax_number": "225-644-4414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 E WORTHY ST BLDG 4",
            "city": "GONZALES",
            "state": "LA",
            "postal_code": "707374232",
            "telephone_number": "225-644-7044",
            "fax_number": "225-644-4414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER REHAB",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-24",
        "last_updated": "2011-01-24",
        "status": "A",
        "authorized_official_last_name": "REDMOND",
        "authorized_official_first_name": "BRIDGET",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "225-644-7044",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "LA",
            "license": "01007",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gonzales, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2011; 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.