Louisiana Rehab Products Inc

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

LOUISIANA REHAB PRODUCTS INC

Practice address

11135 Industriplex Blvd
Ste 810
Baton Rouge, LA 70809-4114

Phone

(225) 751-9339

Fax

(225) 751-2751

NPI assigned

Jan 17, 2013

Organization subpart

Yes

Parent organization

LOUISISNA REHAB PRODUCTS INCAs reported in NPPES

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

Authorized official

Name

Mr. Ricky Walter Decastro Sr.

Title

President

Phone

(504) 468-6100

Specialties & licenses 2

Addresses

Other identifiers 2

Tax ID family

Louisiana Rehab Products Inc3 organizations share this tax ID, including this one

Part of

Louisiana Rehab Products Inc

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Louisiana Rehab Products Inc

  • Prosthetic/Orthotic Supplier
  • Kenner, LA
  • NPI 1962839134
  NPD tax ID
• Louisiana Rehab Products Inc.

  • Durable Medical Equipment & Medical Supplies
  • Kenner, LA
  • NPI 1457437816
  NPD tax ID

Locations

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

{
    "created_epoch": "1358380800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358380800000",
    "number": "1891033403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2424 WILLIAMS BLVD",
            "address_2": "STE C",
            "city": "KENNER",
            "state": "LA",
            "postal_code": "700625763",
            "telephone_number": "504-468-6100",
            "fax_number": "504-468-6109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11135 INDUSTRIPLEX BLVD",
            "address_2": "STE 810",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708094114",
            "telephone_number": "225-751-9339",
            "fax_number": "225-751-2751"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOUISIANA REHAB PRODUCTS INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LOUISISNA REHAB PRODUCTS INC",
        "enumeration_date": "2013-01-17",
        "last_updated": "2013-01-17",
        "status": "A",
        "authorized_official_last_name": "DECASTRO",
        "authorized_official_first_name": "RICKY",
        "authorized_official_middle_name": "WALTER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "504-468-6100",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Sr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "LA",
            "license": null,
            "primary": false
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF LOUISIANA",
            "identifier": "77610",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1998214",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Louisiana Pain Specialists, LLC
• Louisiana Peer Action Advocacy Coalition
• Louisiana Prosthetics, LLC
• Louisiana Psychiatric Clinic, LLC
• Louisiana Regenerative Medicine Center
• Louisiana School for the Deaf
• Louisiana School for the Deaf
• Louisiana School for the Visually Impaired
• Louisiana Sleep Foundation, LLC
• Louisiana Stat Care LLC

• Prosthetic/Orthotic Supplier in Baton Rouge, LA
• Providers in Baton Rouge, LA by specialty
• Prosthetic/Orthotic Supplier in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2013; 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.