East Baton Rouge Medical Center Rehab

Primary specialty

Rehabilitation Hospital UnitTaxonomy code 273Y00000X

Legal business name

EAST BATON ROUGE MEDICAL CENTER REHAB

Practice address

17000 Medical Center Dr
Baton Rouge, LA 70816-3246

Phone

(225) 752-2470

Fax

(225) 755-4915

NPI assigned

Oct 11, 2006

Organization subpart

No

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

Authorized official

Name

John S Ball

Title

PFS Director

Phone

(225) 752-2470

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Ochsner Medical Center Baton Rouge Rehab Doing business as

Tax ID family

East Baton Rouge Medical Center 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.

• East Baton Rouge Medical Center LLC

  • General Acute Care Hospital
  • Baton Rouge, LA
  • NPI 1053360651
  NPD tax ID
• East Baton Rouge Medical Center LLC

  • General Acute Care Hospital
  • Plaquemine, LA
  • NPI 1710380068
  NPD tax ID

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

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1821187758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17000 MEDICAL CENTER DR",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708163246",
            "telephone_number": "225-752-2470",
            "fax_number": "225-755-4915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17000 MEDICAL CENTER DR",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708163246",
            "telephone_number": "225-752-2470",
            "fax_number": "225-755-4915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST BATON ROUGE MEDICAL CENTER REHAB",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BALL",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PFS DIRECTOR",
        "authorized_official_telephone_number": "225-752-2470"
    },
    "taxonomies": [
        {
            "code": "273Y00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Unit",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS REHAB",
            "identifier": "60910",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1700797",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ochsner Medical Center Baton Rouge Rehab",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Shelley G Early, OT
• Darrenisha Earlycutt
• Amanda Easley, FNP
• Vickie Shaw Easley, CRNA
• East Baton Rouge Medical Center LLC
• East Baton Rouge Medical Center, LLC
• East Baton Rouge Parish School System
• East Baton Rouge Parish School System
• East Baton Rouge Parish School System
• East BR Medical Transportation LLC

• Rehabilitation Hospital Unit in Baton Rouge, LA
• Providers in Baton Rouge, LA by specialty
• Rehabilitation Hospital Unit 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.