NPIMap

Organization Active NPI

Bastrop Rehabilitation Hospital, LLC

Doing business as Riverbend Rehabilitation Hospital

  • Rehabilitation Hospital
  • Monroe, LA
National Provider Identifier
1851619241
Registry record updated Nov 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation HospitalTaxonomy code 283X00000X
License
432 Issued in LA
Legal business name
BASTROP REHABILITATION HOSPITAL, LLC
Doing business as
Riverbend Rehabilitation Hospital
Practice address
4310 S Grand St
Monroe, LA 71202-6322
Phone
(318) 654-8300
NPI assigned
May 10, 2010
Last updated
Nov 5, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2019

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

Authorized official

Name
Mr. William H. Means Jr.
Title
Administrator
Phone
(318) 422-1640

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Hospital 283X00000X 432 LA Primary

Addresses

Primary practice location

4310 S Grand St
Monroe, LA 71202-6322

Mailing address

816 Benton Rd
Bossier City, LA 71111-3744
Phone (318) 742-3408

Other names 1

  • Riverbend Rehabilitation Hospital Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040922000923 LA Part A Provider - Hospital 8123096641 1 other NPI on this enrollment
Practice locations: Monroe, LA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1851619241. Details of each certification follow.

Hospital certification: CCN 193058

Legal name
BASTROP REHABILITATION HOSPITAL, LLC
Doing business as
RIVERBEND REHABILITATION HOSPITAL
Certification status
Active
Provider type (POS)
Hospital – Rehabilitation
Participating since
May 31, 2000
Last certification
Dec 1, 2021
Beds
12
Ownership / control type
Private (for profit)
Organization structure
LLCProprietary
Incorporated
Sep 20, 1999 in LA
Enrollment address
4310 S Grand St
Monroe, LA 71202-6322
Other Hospital Practice Location
Hospital subgroups
Long-term

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Inpatient rehabilitation facility

Medicare Care Compare
Listed as
Riverbend Rehabilitation HospitalCCN 193058 · All quality measures
Ownership
For profit
Certified
May 31, 2000
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Locations

4310 S Grand St
Ste 208
Monroe, LA 71202

Ownership & related parties

All disclosed owners & managing parties 13

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Prestige Ventures LLC Organization, Baton Rouge, LA For-profit 5% Or Greater Indirect Ownership Interest Jan 1, 2010 48%
William Means Individual Corporate OfficerAdministrator Jan 1, 2010
Operational/Managerial ControlAdministrator Jan 1, 2010
Walter Bigby Individual 5% Or Greater Indirect Ownership Interest Sep 20, 1999 52%
Corporate OfficerManager Sep 20, 1999 52%
Operational/Managerial ControlManager Sep 20, 1999 52%
Noble Javier Means Individual 5% Or Greater Indirect Ownership Interest Dec 15, 2014 8%
Stephen Florentine Individual W-2 Managing EmployeeAssistant Administrator Mar 24, 2015
Anrand LLC Organization, Bossier City, LA For-profit 5% Or Greater Indirect Ownership Interest Dec 15, 2014 24%
Wellness Enterprises, LLC Organization, Bossier City, LA Created for acquisition, For-profit 5% Or Greater Direct Ownership Interest Sep 20, 1999 100%
Operational/Managerial Control Sep 20, 1999 100%
Prestige Consulting, Inc. Organization, Bossier City, LA Operational/Managerial Control Jun 1, 2004
Matthew F St. Amant Individual Operational/Managerial Control Apr 1, 2013
James Smith Individual Corporate Director Jan 1, 2010
Alexander Blondeau Individual 5% Or Greater Indirect Ownership InterestLegal Jan 1, 2010 24%
Anastasia M Means Individual 5% Or Greater Indirect Ownership Interest Dec 15, 2014 8%
William R Means Individual 5% Or Greater Indirect Ownership Interest Feb 14, 2014 8%

Facilities with the same owner 4

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Subparts reporting this organization as parent 2

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 2

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.

Affiliated clinicians 2

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1273449600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1572912000000",
    "number": "1851619241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "816 BENTON RD",
            "city": "BOSSIER CITY",
            "state": "LA",
            "postal_code": "711113744",
            "telephone_number": "318-742-3408",
            "fax_number": "318-752-1940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4310 S GRAND ST",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712026322",
            "telephone_number": "318-654-8300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BASTROP REHABILITATION HOSPITAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-10",
        "last_updated": "2019-11-05",
        "status": "A",
        "authorized_official_last_name": "MEANS",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "H.",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "318-422-1640",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "283X00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Hospital",
            "state": "LA",
            "license": "432",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Riverbend Rehabilitation Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Monroe, LA

Sources for this page

Verify at the official NPI Registry.