Active NPI
Lafayette Community Rehabilitation Hospital, LLC
- Long Term Care Hospital
- Lafayette, LA
National Provider Identifier
1891757670
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Long Term Care Hospital
- License
- 592
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 61229 | Other | LA | BLUE CROSS OF LA |
| 1763519 | Medicaid | LA |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Family Medicine Physician
- Lafayette, LA
- NPI 1578563847
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
- Lafayette Association for Retarded Citizens, Inc.
- Lafayette Bone & Joint Clinic
- Lafayette Cardiovascular Center of Excellence,LLC
- Lafayette Childrens Clinic LLC
- Lafayette Chiropractic Physician'S Group, Inc
- Lafayette Council on Aging
- Lafayette Council on Aging, Inc.
- Lafayette Council on Aging, Inc.
- Lafayette Council on Aging, Inc.
- Lafayette Council on Aging, Inc.
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.