Organization Active NPI

Lafayette Community Rehabilitation Hospital, LLC

  • Long Term Care Hospital
  • Lafayette, LA
National Provider Identifier
1891757670
Registry record updated Dec 29, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care HospitalTaxonomy code 282E00000X
License
592 Issued in LA
Legal business name
LAFAYETTE COMMUNITY REHABILITATION HOSPITAL, LLC
Practice address
408 SE Evangeline Thruway
Lafayette, LA 70501
Phone
(337) 234-4031
Fax
(337) 210-1558
NPI assigned
Apr 5, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2009

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

Authorized official

Name
Mrs. Stephanie Dyson Nichols
Title
Administrator
Phone
(337) 234-4031

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Hospital 282E00000X 592 LA Primary

Addresses

Primary practice location

408 SE Evangeline Thruway
Lafayette, LA 70501

Mailing address

408 SE Evangeline Thruway
Lafayette, LA 70501
Phone (337) 234-4031

Other identifiers 2

IdentifierTypeStateIssuer
61229OtherLABLUE CROSS OF LA
1763519MedicaidLA

National Provider Directory

National Provider Directory

Locations

408 SE Evangeline Trwy
Lafayette, LA 70501
Phone (337) 234-4031

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1144195200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1262044800000",
    "number": "1891757670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "408 SE EVANGELINE THRUWAY",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "70501",
            "telephone_number": "337-234-4031",
            "fax_number": "337-210-1558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "408 SE EVANGELINE THRUWAY",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "70501",
            "telephone_number": "337-234-4031",
            "fax_number": "337-210-1558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAFAYETTE COMMUNITY REHABILITATION HOSPITAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-05",
        "last_updated": "2009-12-29",
        "status": "A",
        "authorized_official_last_name": "NICHOLS",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_middle_name": "DYSON",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "337-234-4031",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "282E00000X",
            "taxonomy_group": "",
            "desc": "Long Term Care Hospital",
            "state": "LA",
            "license": "592",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS OF LA",
            "identifier": "61229",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1763519",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 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.