Active NPI
Rockwall Baton Rouge Rehab Hospital LP
- Rehabilitation Hospital
- Baton Rouge, LA
National Provider Identifier
1942441084
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Hospital
- License
- 653
- Legal business name
- ROCKWALL BATON ROUGE REHAB HOSPITAL LP
- Practice address
- 8000 Summa Avenue
Baton Rouge, LA 70809 - Phone
- (225) 819-0703
- Fax
- (225) 906-4085
- NPI assigned
- Mar 19, 2009
- 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
- Mr. Kenneth J. Ivy
- Title
- Ceo
- Phone
- (225) 906-4884
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Hospital | 283X00000X | 653 | LA | Primary |
Addresses
Primary practice location
8000 Summa Avenue
Baton Rouge, LA 70809
Mailing address
8000 Summa Avenue
Baton Rouge, LA 70809
Phone (225) 819-0703
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700576 | Medicaid | LA |
Other names 1
- Sage Rehabilitation Hospital
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physical Medicine & Rehabilitation Physician
- Baton Rouge, LA
- NPI 1568405959
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1237420800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1254182400000",
"number": "1942441084",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8000 SUMMA AVENUE",
"city": "BATON ROUGE",
"state": "LA",
"postal_code": "70809",
"telephone_number": "225-819-0703",
"fax_number": "225-906-4085"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8000 SUMMA AVENUE",
"city": "BATON ROUGE",
"state": "LA",
"postal_code": "70809",
"telephone_number": "225-819-0703",
"fax_number": "225-906-4085"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ROCKWALL BATON ROUGE REHAB HOSPITAL LP",
"organizational_subpart": "NO",
"enumeration_date": "2009-03-19",
"last_updated": "2009-09-29",
"status": "A",
"authorized_official_last_name": "IVY",
"authorized_official_first_name": "KENNETH",
"authorized_official_middle_name": "J.",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "225-906-4884",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "283X00000X",
"taxonomy_group": "",
"desc": "Rehabilitation Hospital",
"state": "LA",
"license": "653",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1700576",
"state": "LA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Sage Rehabilitation Hospital",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Baton Rouge, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 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.