The Neuro Medical Center Rehabilitation Hospital

Primary specialty

Rehabilitation HospitalTaxonomy code 283X00000X

License

560 Issued in LA

Legal business name

THE NEURO MEDICAL CENTER REHABILITATION HOSPITAL

Practice address

10101 Park Rowe Ave
Ste 600
Baton Rouge, LA 70810

Phone

(225) 906-2999

Fax

(225) 906-3837

NPI assigned

Jul 24, 2006

Organization subpart

No

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

Authorized official

Name

Sherry Mix

Title

Cfo

Phone

(225) 906-3822

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1962424556. Details of each certification follow.

• CCN 193090 Hospital · Active · Details

Hospital certification: CCN 193090

Legal name

THE NEURO MEDICAL CENTER REHABILITATION HOSPITAL

Certification status

Active

Provider type (POS)

Hospital – Rehabilitation

Participating since

Aug 8, 2005

Last certification

Jul 8, 2021

Beds

27

Ownership / control type

Private (for profit)

Organization structure

LLCProprietary

Incorporated

Jan 16, 2004 in LA

Enrollment address

10101 Park Rowe Ave
Ste 600
Baton Rouge, LA 70810-1686
Other Hospital Practice Location

Hospital subgroups

Rehabilitation

Listed as

The Neuromedical Center Rehabilitation Hospital, LCCN 193090 · All quality measures

Ownership

For profit

Certified

Aug 8, 2005

Medicare certification status

ActiveFrom the Provider of Services file

Tax ID family

The Neuro Medical Center Rehabilitation Hospital2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• The Neuro Medical Center Rehabilitation Hospital

  • Hospitalist Physician
  • Baton Rouge, LA
  • NPI 1437860269
  NPD tax ID

Locations

All disclosed owners & managing parties 4

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Charles E. Eberly, MD

  • Neurology Physician
  • Baton Rouge, LA
  • NPI 1982693180
  NPD (past)
• Lacey Wood Miller, NP

  • Adult Health Nurse Practitioner
  • Baton Rouge, LA
  • NPI 1225770266
  NPD (past)
• Jyoti S Pham, MD

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Baton Rouge, LA
  • NPI 1093704181
  NPD (past)

Affiliated clinicians 5

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Gerald Joseph Calegan II, MD

  • Neurology Physician
  • Baton Rouge, LA
  • NPI 1902873516

  Inpatient rehabilitation facility

  Care Compare affiliation
• Ranada Ann Johnson, MD

  • Internal Medicine Physician
  • Baton Rouge, LA
  • NPI 1790976140

  Inpatient rehabilitation facility

  Care Compare affiliation
• Palvi J Patel, M.D.

  • Family Medicine Physician
  • Baton Rouge, LA
  • NPI 1578705620

  Inpatient rehabilitation facility

  Care Compare affiliation
• Jyoti S Pham, MD

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Baton Rouge, LA
  • NPI 1093704181

  Inpatient rehabilitation facility

  Care Compare affiliation
• Mohammad Zohair Pirzadah, MD

  • Specialist
  • Baton Rouge, LA
  • NPI 1841286077

  Inpatient rehabilitation facility

  Care Compare affiliation

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

{
    "created_epoch": "1153699200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1554163200000",
    "number": "1962424556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10101 PARK ROWE AVE STE 500",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708101685",
            "telephone_number": "225-906-2999",
            "fax_number": "225-906-3837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10101 PARK ROWE AVE",
            "address_2": "STE 600",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "70810",
            "telephone_number": "225-906-2999",
            "fax_number": "225-906-3837"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE NEURO MEDICAL CENTER REHABILITATION HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-24",
        "last_updated": "2019-04-02",
        "status": "A",
        "authorized_official_last_name": "MIX",
        "authorized_official_first_name": "SHERRY",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "225-906-3822"
    },
    "taxonomies": [
        {
            "code": "283X00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Hospital",
            "state": "LA",
            "license": "560",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "61330",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1704059",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• The Mobility Depot, LLC
• The Mobility Depot, LLC
• The Monte' Garcia Salon
• The Natural Health Clinic and Spa (Florida Baker)
• The Neuro Medical Center Rehabilitation Hospital
• The New Y Ou Reintegration P Roject, Inc
• The New You Reintegration Project
• The Pediatric Place, LLC
• The Physcial Therapy Center
• The Physicians Alliance Corporation

• Rehabilitation Hospital in Baton Rouge, LA
• Providers in Baton Rouge, 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 2, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.