Post Acute Specialty Hospital of Lafayette LLC

Primary specialty

Long Term Care HospitalTaxonomy code 282E00000X

Legal business name

POST ACUTE SPECIALTY HOSPITAL OF LAFAYETTE LLC

Practice address

204 Energy Pkwy
Lafayette, LA 70508-3816

Phone

(804) 204-1537

Fax

(804) 254-1972

NPI assigned

Jun 20, 2013

Organization subpart

No

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

Authorized official

Name

Mr. Anthony Misitano

Title

President

Phone

(717) 731-9660

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• PAM Specialty Hospital of Lafayette Doing business as

Locations

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

{
    "created_epoch": "1371686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1459728000000",
    "number": "1962841197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1828 GOOD HOPE RD",
            "address_2": "SUITE 102",
            "city": "ENOLA",
            "state": "PA",
            "postal_code": "170251233",
            "telephone_number": "717-731-9660",
            "fax_number": "717-731-9665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 ENERGY PKWY",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705083816",
            "telephone_number": "804-204-1537",
            "fax_number": "804-254-1972"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POST ACUTE SPECIALTY HOSPITAL OF LAFAYETTE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-20",
        "last_updated": "2016-04-04",
        "status": "A",
        "authorized_official_last_name": "MISITANO",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "717-731-9660",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "282E00000X",
            "taxonomy_group": "",
            "desc": "Long Term Care Hospital",
            "state": "LA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1762989",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PAM Specialty Hospital of Lafayette",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Corey Gerard Porche, LPC
• Lauren Porter
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• Casey Potier, LCSW
• Felix E Potier, RPH
• Julia Caroline Potier, OT
• Marguerite Potier, CRNA

• Long Term Care Hospital in Lafayette, LA
• Providers in Lafayette, 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 Apr 4, 2016; 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.