Louisiana Rehab Products, Inc.

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

LOUISIANA REHAB PRODUCTS, INC.

Practice address

7030 Canal Blvd
Suite 120
New Orleans, LA 70124-3410

Phone

(504) 468-6100

Fax

(504) 468-6109

NPI assigned

Jul 27, 2016

Organization subpart

Yes

Parent organization

LOUISIANA REHAB PRODUCTS, INC.As reported in NPPES

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

Authorized official

Name

Mr. Ricky Decastro Sr.

Title

President

Phone

(504) 468-6100

Specialties & licenses 2

Addresses

Other identifiers 2

Part of

Louisiana Rehab Products Inc

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

{
    "created_epoch": "1469577600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1469577600000",
    "number": "1902359870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2424 WILLIAMS BLVD",
            "address_2": "SUITE 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": "7030 CANAL BLVD",
            "address_2": "SUITE 120",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701243410",
            "telephone_number": "504-468-6100",
            "fax_number": "504-468-6109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOUISIANA REHAB PRODUCTS, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LOUISIANA REHAB PRODUCTS, INC.",
        "enumeration_date": "2016-07-27",
        "last_updated": "2016-07-27",
        "status": "A",
        "authorized_official_last_name": "DECASTRO",
        "authorized_official_first_name": "RICKY",
        "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": null,
            "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 Medical Management Corporation (Canal Radiology Laboratory)
• Louisiana Medical Specialists PC a Professional Corporation
• Louisiana Pain Specialists, LLC
• Louisiana Pain Specialists, LLC
• Louisiana Re-Entry & Rehabilitation Services
• Louisiana Rides, LLC
• Louisiana Specialized Coordinated Care
• Louisiana State University
• Louisiana State University School of Med in New Orleans Faculty Grou (LSU Healthcare Network)
• Louisiana State University School of Medicine in New Orleans Faculty (LSU ED Billing)

• Prosthetic/Orthotic Supplier in New Orleans, LA
• Providers in New Orleans, 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 Jul 27, 2016; 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.