Health Services Group of Louisiana, LLC

Primary specialty

Long Term Care HospitalTaxonomy code 282E00000X

License

584B Issued in LA

Legal business name

HEALTH SERVICES GROUP OF LOUISIANA, LLC

Doing business as

Gulf States LTAC of Washington St. Tammany

Practice address

621 S Columbia St
Bogalusa, LA 70427-4721

Phone

(985) 732-4402

Fax

(985) 732-4708

NPI assigned

Jun 6, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Eugene E. Smith

Title

President and Coo

Phone

(225) 216-2299

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Gulf States LTAC of Washington St. Tammany Doing business as

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

{
    "created_epoch": "1149552000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1234224000000",
    "number": "1962441667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "621 S COLUMBIA ST",
            "city": "BOGALUSA",
            "state": "LA",
            "postal_code": "704274721",
            "telephone_number": "985-732-4402",
            "fax_number": "985-732-4708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "621 S COLUMBIA ST",
            "city": "BOGALUSA",
            "state": "LA",
            "postal_code": "704274721",
            "telephone_number": "985-732-4402",
            "fax_number": "985-732-4708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTH SERVICES GROUP OF LOUISIANA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-06",
        "last_updated": "2009-02-10",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "EUGENE",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "PRESIDENT AND COO",
        "authorized_official_telephone_number": "225-216-2299",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "282E00000X",
            "taxonomy_group": "",
            "desc": "Long Term Care Hospital",
            "state": "LA",
            "license": "584B",
            "primary": true
        },
        {
            "code": "284300000X",
            "taxonomy_group": "",
            "desc": "Special Hospital",
            "state": "LA",
            "license": "584B",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1766933",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gulf States LTAC of Washington St. Tammany",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Joseph Paul Halkovic, D.C
• Rebecca A Hankel, RD, LDN
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• Marc Hautot, O.D.
• Healing Bliss Therapeutics
• Health Servicesgroup of Louisiana, LLC
• Richard P. Heflin, M.D.
• Karmynah Marie Wilnetta Helaire, MD, MPH
• Martha Ann Hersey, GSW
• Amy Michele Hillman, MSW, LCSW

• Long Term Care Hospital in Bogalusa, LA
• Providers in Bogalusa, LA by specialty
• Long Term Care Hospital in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 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.

Verify at the official NPI Registry.