Grace Healthcare Management, LLC

Primary specialty

Rehabilitation HospitalTaxonomy code 283X00000X

Legal business name

GRACE HEALTHCARE MANAGEMENT, LLC

Doing business as

Specialty Rehabilitation Hospital of Luling

Practice address

1125 Paul Maillard Road
Luling, LA 70070

Phone

(985) 785-5233

Fax

(985) 785-5181

NPI assigned

Sep 24, 2008

Last updated

Oct 17, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Latrenda C Barnes

Title

Administrator

Phone

(985) 785-5233

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Specialty Rehabilitation Hospital of Luling Doing business as

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

NPI to CCN mapping 2

The Medicare certification numbers (CCNs) connected to NPI 1972753192. Details of each certification follow.

• CCN 190310 Hospital · Terminated · Name & address match · Details
• CCN 193064 Hospital · Terminated · Name & address match · Details

Hospital certification: CCN 190310

Legal name

SPECIALTY REHABILITATION HOSPITAL OF LULING

Certification status

Terminated Voluntary: merger or closure, Feb 28, 2014

Provider type (POS)

Hospital – Short-term

Participating since

Sep 1, 2013

Last certification

Sep 1, 2013

Beds

22

Ownership / control type

Private (for profit)

Facility address

1125 Paul Maillard Rd
Luling, LA 70070

Hospital certification: CCN 193064

Legal name

SPECIALTY REHABILITATION HOSPITAL OF LULING

Certification status

Terminated Voluntary: merger or closure, Sep 1, 2013

Provider type (POS)

Hospital – Rehabilitation

Participating since

Feb 13, 2001

Last certification

Feb 28, 2013

Beds

22

Ownership / control type

Private (for profit)

Most recent change of ownership

Nov 9, 2012 (2 total)

Facility address

1125 Paul Maillard Rd
Luling, LA 70070

Locations

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

{
    "created_epoch": "1222214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1381968000000",
    "number": "1972753192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 2604",
            "city": "LAPLACE",
            "state": "LA",
            "postal_code": "70069",
            "telephone_number": "985-785-5233",
            "fax_number": "985-785-5181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1125 PAUL MAILLARD ROAD",
            "city": "LULING",
            "state": "LA",
            "postal_code": "70070",
            "telephone_number": "985-785-5233",
            "fax_number": "985-785-5181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACE HEALTHCARE MANAGEMENT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-24",
        "last_updated": "2013-10-17",
        "status": "A",
        "authorized_official_last_name": "BARNES",
        "authorized_official_first_name": "LATRENDA",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "985-785-5233",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "283X00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Hospital",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1702005",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Specialty Rehabilitation Hospital of Luling",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mohan D Gandhi, M.D.
• Yvonne Byrd Gaspard, M.ED., LPC,NCC
• Ellen Hymel Gassen, P.T.
• Owen M Gauthier II
• Brent Michael Giuffre, M.D.
• Jessica Guarisco, SLP
• Amber Michelle Guidry
• Joshua Osteel Hafford, D.D.S.
• Rebecca Hageman, MIDWIFE
• Haik & Terrell, LLC

• Rehabilitation Hospital in Luling, LA
• Providers in Luling, LA by specialty
• Rehabilitation Hospital in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2013; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.