NPIMap

Organization Active NPI

Mid-Jefferson Extended Care Hospital

  • Long Term Care Hospital
  • Nederland, TX
National Provider Identifier
1831158328
Registry record updated Jun 21, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care HospitalTaxonomy code 282E00000X
License
007921 Issued in TX
Legal business name
MID-JEFFERSON EXTENDED CARE HOSPITAL
Practice address
2600 Highway 365
Nederland, TX 77627
Phone
(409) 726-8700
NPI assigned
Mar 22, 2006
Last updated
Jun 21, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2012

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

Authorized official

Name
Mr. Alexander L. Blondeau Jr., J.D.
Title
Manager
Phone
(225) 938-1560

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Hospital 282E00000X 007921 TX Primary

Addresses

Primary practice location

2600 Highway 365
Nederland, TX 77627

Mailing address

10124 Jefferson Hwy
Baton Rouge, LA 70809-2725
Phone (225) 293-2700

National Provider Directory

National Provider Directory
Tax ID family
Post Acute Enterprises 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

2555 Jimmy Johnson Blvd
Fl 3
Port Arthur, TX 77640
Phone (409) 985-0199

NPI Registry JSON

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

{
    "created_epoch": "1142985600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1340236800000",
    "number": "1831158328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10124 JEFFERSON HWY",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708092725",
            "telephone_number": "225-293-2700",
            "fax_number": "225-293-2730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 HIGHWAY 365",
            "city": "NEDERLAND",
            "state": "TX",
            "postal_code": "77627",
            "telephone_number": "409-726-8700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MID-JEFFERSON EXTENDED CARE HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-22",
        "last_updated": "2012-06-21",
        "status": "A",
        "authorized_official_last_name": "BLONDEAU",
        "authorized_official_first_name": "ALEXANDER",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "225-938-1560",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "J.D."
    },
    "taxonomies": [
        {
            "code": "282E00000X",
            "taxonomy_group": "",
            "desc": "Long Term Care Hospital",
            "state": "TX",
            "license": "007921",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nederland, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2012; 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.