Leesville Rehabilitation Hospital LLC

Primary specialty

Rehabilitation HospitalTaxonomy code 283X00000X

License

4555 Issued in LA

Legal business name

LEESVILLE REHABILITATION HOSPITAL LLC

Practice address

900 S 6TH St
Leesville, LA 71446-4723

Phone

(337) 392-8118

Fax

(337) 392-8415

NPI assigned

Sep 30, 2005

Organization subpart

No

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

Authorized official

Name

Mr. Jason Carroll

Title

Ceo

Phone

(337) 392-8118

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1128038400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1272412800000",
    "number": "1932196300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "323 WEST WALNUT AVE",
            "city": "BASTROP",
            "state": "LA",
            "postal_code": "712211531",
            "telephone_number": "318-556-8000",
            "fax_number": "318-556-1197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 S 6TH ST",
            "city": "LEESVILLE",
            "state": "LA",
            "postal_code": "714464723",
            "telephone_number": "337-392-8118",
            "fax_number": "337-392-8415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEESVILLE REHABILITATION HOSPITAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-30",
        "last_updated": "2010-04-28",
        "status": "A",
        "authorized_official_last_name": "CARROLL",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "337-392-8118",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "283X00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Hospital",
            "state": "LA",
            "license": "4555",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1702951",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Leesville Developmental Center
• Leesville Developmental Center
• Leesville Diagnostic Center LP
• Leesville Dialysis Center, LLC
• Leesville Heart Center PMC
• Leesville Surgery Center LLC
• Leesville Urgent Care, LLC
• Lawanda Leftwich-Render
• Jennifer Diane Lehto, MSOT
• Dawn Cheatham Lemieux, PA-C

• Rehabilitation Hospital in Leesville, LA
• Providers in Leesville, LA by specialty
• Rehabilitation Hospital in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2010; 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.