Merryville Rehabilitation Limited Partnership

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

881 Issued in LA

Legal business name

MERRYVILLE REHABILITATION LIMITED PARTNERSHIP

Doing business as

Merryville Rehabilitation

Practice address

900 N Bryan St
Merryville, LA 70653-3302

Phone

(337) 825-6181

Fax

(337) 825-6176

NPI assigned

Jan 14, 2010

Organization subpart

No

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

Authorized official

Name

Dawne Renee Smith

Title

Ceo

Phone

(318) 812-2140

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• MERRYVILLE REHABILITATION Doing business as

Locations

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

{
    "created_epoch": "1263427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1399852800000",
    "number": "1902137946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 N 2ND ST # 200",
            "city": "WEST MONROE",
            "state": "LA",
            "postal_code": "712913266",
            "telephone_number": "318-812-2140",
            "fax_number": "318-812-2143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 N BRYAN ST",
            "city": "MERRYVILLE",
            "state": "LA",
            "postal_code": "706533302",
            "telephone_number": "337-825-6181",
            "fax_number": "337-825-6176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERRYVILLE REHABILITATION LIMITED PARTNERSHIP",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-14",
        "last_updated": "2014-05-12",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "DAWNE",
        "authorized_official_middle_name": "RENEE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "318-812-2140"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "LA",
            "license": "881",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1510025",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MERRYVILLE REHABILITATION",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Marilyn Hieronymus
• Iberia Comprehensive Community Health Center,Inc. (Merryville Community Health Center)
• Kymberly McMillian
• Merryville Family Clinic, LLC
• Merryville Nursing Center
• Paradigm Healthcare LLC
• Michele Payne, LMFT
• Joni Dianne Whitehead, FNP-C

• Skilled Nursing Facility in Merryville, LA
• Providers in Merryville, LA by specialty
• Skilled Nursing Facility in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2014; 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.