Active NPI
Meridian Healthcare Services, LLC
- Comprehensive Outpatient Rehabilitation Facility (CORF)
- New Orleans, LA
National Provider Identifier
1831343888
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Comprehensive Outpatient Rehabilitation Facility (CORF)
- License
- 186372
- Legal business name
- MERIDIAN HEALTHCARE SERVICES, LLC
- Practice address
- 3737 General Degaulle Dr
New Orleans, LA 70114-8205 - Phone
- (504) 304-3498
- Fax
- (504) 304-3491
- NPI assigned
- Nov 4, 2008
- Last updated
- May 10, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Serge Tchibinda
- Title
- Authorized Agent
- Phone
- (504) 304-3498
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Comprehensive Outpatient Rehabilitation Facility (CORF) | 261QR0401X | 186372 | LA | Primary |
Addresses
Primary practice location
3737 General Degaulle Dr
New Orleans, LA 70114-8205
Mailing address
3737 General Degaulle Dr
New Orleans, LA 70114-8205
Phone (504) 304-3498
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2133284 | Medicaid | LA |
National Provider Directory
National Provider DirectoryLocations
2701 General Degaulle Dr
Ste A
New Orleans, LA 70114
Phone (504) 284-8666
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Physical Medicine & Rehabilitation Physician
- Metairie, LA
- NPI 1255434635
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1225756800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1304985600000",
"number": "1831343888",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3737 GENERAL DEGAULLE DR",
"city": "NEW ORLEANS",
"state": "LA",
"postal_code": "701148205",
"telephone_number": "504-304-3498",
"fax_number": "504-304-3491"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3737 GENERAL DEGAULLE DR",
"city": "NEW ORLEANS",
"state": "LA",
"postal_code": "701148205",
"telephone_number": "504-304-3498",
"fax_number": "504-304-3491"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MERIDIAN HEALTHCARE SERVICES, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2008-11-04",
"last_updated": "2011-05-10",
"status": "A",
"authorized_official_last_name": "TCHIBINDA",
"authorized_official_first_name": "SERGE",
"authorized_official_title_or_position": "AUTHORIZED AGENT",
"authorized_official_telephone_number": "504-304-3498",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "261QR0401X",
"taxonomy_group": "",
"desc": "Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)",
"state": "LA",
"license": "186372",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2133284",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in New Orleans, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 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.