Organization Active NPI

Eho2002, LLC

Doing business as Easthaven Care and Rehabilitation Center

  • Skilled Nursing Facility
  • New Orleans, LA
National Provider Identifier
1942209531
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
EHO2002, LLC
Doing business as
Easthaven Care and Rehabilitation Center
Practice address
9660 Lake Forest Blvd
New Orleans, LA 70127-2619
Phone
(504) 244-9013
Fax
(504) 241-5330
NPI assigned
Jul 18, 2005
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Sherry Mix
Title
Chief Financial Officer
Phone
(225) 927-4290

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X LA Primary

Addresses

Primary practice location

9660 Lake Forest Blvd
New Orleans, LA 70127-2619

Mailing address

3049 S Sherwood Forest Blvd
Suite 200
Baton Rouge, LA 70816-2277
Phone (225) 927-4290

Other identifiers 1

IdentifierTypeStateIssuer
1510408MedicaidLA

Other names 1

  • EASTHAVEN CARE AND REHABILITATION CENTER Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1121644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1942209531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3049 S SHERWOOD FOREST BLVD",
            "address_2": "SUITE 200",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708162277",
            "telephone_number": "225-927-4290",
            "fax_number": "225-927-5385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9660 LAKE FOREST BLVD",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701272619",
            "telephone_number": "504-244-9013",
            "fax_number": "504-241-5330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EHO2002, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MIX",
        "authorized_official_first_name": "SHERRY",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "225-927-4290"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "LA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1510408",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "EASTHAVEN CARE AND REHABILITATION CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in New Orleans, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.