NPIMap

Organization Active NPI

Rehab Services of NE la, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Monroe, LA
National Provider Identifier
1891018826
Registry record updated Jul 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
REHAB SERVICES OF NE LA, LLC
Practice address
4306 S. Grande
Monroe, LA 71202-2337
Phone
(318) 324-5441
Fax
(318) 324-5442
NPI assigned
Mar 4, 2010
Last updated
Jul 24, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2023

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

Authorized official

Name
Mr. Matthew St. Amant
Title
Owner/Managing Partner
Phone
(318) 208-8709

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary
Community/Behavioral Health Agency 251S00000X

Addresses

Primary practice location

4306 S. Grande
Monroe, LA 71202-2337

Mailing address

1000 Chinaberry Dr Ste 900
Bossier City, LA 71111-2455
Phone (318) 746-0420

National Provider Directory

National Provider Directory

Locations

1000 Chinaberry Dr
Ste 900
Bossier City, LA 71111
Phone (318) 240-7278

816 Benton Rd
Bossier City, LA 71111
Phone (318) 779-1158

4306 S Grand St
Monroe, LA 71202
Phone (318) 322-9418

4327 Sterlington Rd
Ste 2
Monroe, LA 71203

Practitioners & affiliated clinicians

Practitioners 58

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.

View all 58

NPI Registry JSON

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

{
    "created_epoch": "1267660800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690156800000",
    "number": "1891018826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 CHINABERRY DR STE 900",
            "city": "BOSSIER CITY",
            "state": "LA",
            "postal_code": "711112455",
            "telephone_number": "318-746-0420",
            "fax_number": "318-626-5429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4306 S. GRANDE",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712022337",
            "telephone_number": "318-324-5441",
            "fax_number": "318-324-5442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REHAB SERVICES OF NE LA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-04",
        "last_updated": "2023-07-24",
        "certification_date": "2023-07-24",
        "status": "A",
        "authorized_official_last_name": "ST. AMANT",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "OWNER/MANAGING PARTNER",
        "authorized_official_telephone_number": "318-208-8709",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroe, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2023; 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.