Louisiana Rehab Products Inc

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

LOUISIANA REHAB PRODUCTS INC

Practice address

2424 Williams Blvd
Suite C
Kenner, LA 70062-5763

Phone

(504) 468-6100

Fax

(504) 468-6109

NPI assigned

Oct 3, 2013

Organization subpart

No

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

Authorized official

Name

Mr. Ricky W Decastro Sr.

Title

President

Phone

(504) 468-6100

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• LA REHAB Other name

Tax ID family

Louisiana Rehab Products Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

• Louisiana Rehab Products Inc

  • Prosthetic/Orthotic Supplier
  • Baton Rouge, LA
  • NPI 1891033403
  NPD tax ID
• Louisiana Rehab Products Inc.

  • Durable Medical Equipment & Medical Supplies
  • Kenner, LA
  • NPI 1457437816
  NPD tax ID

Locations

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

{
    "created_epoch": "1380758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1380758400000",
    "number": "1962839134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2424 WILLIAMS BLVD",
            "address_2": "SUITE C",
            "city": "KENNER",
            "state": "LA",
            "postal_code": "700625763",
            "telephone_number": "504-468-6100",
            "fax_number": "504-468-6109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2424 WILLIAMS BLVD",
            "address_2": "SUITE C",
            "city": "KENNER",
            "state": "LA",
            "postal_code": "700625763",
            "telephone_number": "504-468-6100",
            "fax_number": "504-468-6109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOUISIANA REHAB PRODUCTS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-03",
        "last_updated": "2013-10-03",
        "status": "A",
        "authorized_official_last_name": "DECASTRO",
        "authorized_official_first_name": "RICKY",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "504-468-6100",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Sr."
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1998214",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LA REHAB",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Louisiana Pain Specialists LLC
• Louisiana Pain Specialists, LLC
• Louisiana Rehab Products Inc.
• Louisiana State University School of Medicine in New Orleans Faculty
• Louisiana State University School of Medicine in New Orleans Faculty G
• Louisiana State University School of Medicine in New Orleans Faculty G
• Lourdes Murra MD

• Prosthetic/Orthotic Supplier in Kenner, LA
• Providers in Kenner, LA by specialty
• Prosthetic/Orthotic Supplier in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2013; 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.