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Organization Active NPI

Gulf States Long Term Acute Care of Denham Springs, LLC

  • Long Term Care Hospital
  • Denham Springs, LA
National Provider Identifier
1831171628
Registry record updated Feb 11, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care HospitalTaxonomy code 282E00000X
License
530 Issued in LA
Legal business name
GULF STATES LONG TERM ACUTE CARE OF DENHAM SPRINGS, LLC
Practice address
8375 Florida Blvd
Denham Springs, LA 70726-7806
Phone
(225) 665-2664
Fax
(225) 665-0736
NPI assigned
Nov 16, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2009

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

Authorized official

Name
Mr. Eugene E. Smith
Title
President & Coo
Phone
(225) 216-2299

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Hospital 282E00000X 530 LA Primary
Special Hospital 284300000X 530 LA

Addresses

Primary practice location

8375 Florida Blvd
Denham Springs, LA 70726-7806

Mailing address

8375 Florida Blvd
Denham Springs, LA 70726-7806
Phone (225) 665-2664

Other identifiers 2

IdentifierTypeStateIssuer
60738OtherLABLUE CROSS OF LA.
1749036MedicaidLA

Other names 1

  • Gulf States LTAC of Denham Springs Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1132099200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1234310400000",
    "number": "1831171628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8375 FLORIDA BLVD",
            "city": "DENHAM SPRINGS",
            "state": "LA",
            "postal_code": "707267806",
            "telephone_number": "225-665-2664",
            "fax_number": "225-665-0736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8375 FLORIDA BLVD",
            "city": "DENHAM SPRINGS",
            "state": "LA",
            "postal_code": "707267806",
            "telephone_number": "225-665-2664",
            "fax_number": "225-665-0736"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GULF STATES LONG TERM ACUTE CARE OF DENHAM SPRINGS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-16",
        "last_updated": "2009-02-11",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "EUGENE",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "PRESIDENT & COO",
        "authorized_official_telephone_number": "225-216-2299",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "282E00000X",
            "taxonomy_group": "",
            "desc": "Long Term Care Hospital",
            "state": "LA",
            "license": "530",
            "primary": true
        },
        {
            "code": "284300000X",
            "taxonomy_group": "",
            "desc": "Special Hospital",
            "state": "LA",
            "license": "530",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS OF LA.",
            "identifier": "60738",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1749036",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gulf States LTAC of Denham Springs",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Denham Springs, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2009; 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.