SPECIALTY REHABILITATION HOSPITAL, L.L.C.


Address: 1110 Ringgold Avenue, Suite B, Coushatta, LA 71019
Phone: 3189321770

SPECIALTY REHABILITATION HOSPITAL, L.L.C. (NPI# 1437346186) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1437346186
Entity Type Organization
Organization Name SPECIALTY REHABILITATION HOSPITAL, L.L.C.
Other Organization Name SPECIALTY REHABILITATION HOSPITAL
Practice Address 1110 Ringgold Avenue
Suite B
Coushatta
LA 71019
Mailing Address P.o. Box 309
Coushatta
LA 71019
Practice Telephone 3189321770
Practice Fax Number 3189321772
Mailing Telephone 3189321770
Mailing Fax Number 3189321772
Enumeration Date 2007-09-26
Last Update Date 2008-07-03
Authorized Official Name MR. PHILLIP CRAIG BALL (GOVERNING BOARD CHAIRMAN / CEO)
Authorized Official Telephone 3372384449
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 283X00000X Rehabilitation Hospital 630 LA Hospitals

Other Provider Identifier

State Issuer Identifier Type Code
LA 1702021 05
MEDICARE PROVIDER NUMBER 193080 01

Other Provider/Organization Names

Other Name Type Code
Specialty Rehabilitation Hospital Doing Business As Name - Organization

Office Location

Street Address 1110 RINGGOLD AVENUE
SUITE B
City COUSHATTA
State LA
Zip Code 71019

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1255898763 Saint Mark Hospice and Palliative Care LLC Hospice Care, Community Based Saint Mark Hospice and Palliative Care LLC, 298 Army Rd, Coushatta, LA 71019 2019-02-21
1750824900 Ruby Braxton Counselor 936 E. Carroll Street, Coushatta, LA 71019 2016-11-21
1447621222 Ranette Smith Counselor 1414 Leigh Street, Coushatta, LA 71019 2015-10-19
1205157237 Red River Parish Police Jury Ambulance 525 Rush Street, Coushatta, LA 71019 2010-06-14
1255566857 Medcore Specialty Pharmacy Pharmacy 1435 E. Carroll St., Suite B, Coushatta, LA 71019 2009-05-27
1679785976 Red River Council On Aging, Inc. Adult Companion 1825 Front Street, Coushatta, LA 71019 2007-05-07
1699805515 Red River Association for Retarded Citizens Inc Day Training, Developmentally Disabled Services 1908 Hwy 71 S, Coushatta, LA 71019 2007-03-07
1629108386 Red River Association for Retarded Citizens Inc Day Training, Developmentally Disabled Services 1908 Hwy 71 South, Coushatta, LA 71019 2007-03-06
1245366251 The Will of God Ministries Outreach Program Preferred Provider Organization 1113 Caliope Street, Coushatta, LA 71019 2007-02-26
1629114889 Deborah Jeanne Dejean-eaton Registered Nurse 1313 Ringgold Ave., Coushatta, LA 71019 2007-01-29
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Taxonomy Information

Taxonomy Code 283X00000X
Grouping Hospitals
Classification Rehabilitation Hospital

Taxonomy Definition

A hospital or facility that provides health-related, social and/or vocational services to disabled persons to help them attain their maximum functional capacity.
Notes: Source: Joint Commission on Accreditation of Healthcare Organizations, Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Oakbrook Terrace, IL: 1994, p. 323

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1972669026 Community Rehabilitation Hospital of Coushatta Rehabilitation Hospital 1110 Ringgold Ave, Suite B, Coushatta, LA 71019-9073 2006-12-30

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1154956241 Shreveport Rehabilitation Hospital, LLC Rehabilitation Hospital 1451 Fern Circle, Shreveport, LA 71105-7501 2020-03-09
1255703468 Readi-steadi, LLC Rehabilitation Hospital 7487 Lillie Valley Dr, Gonzales, LA 70737-8174 2015-10-27
1124499751 Sportmedica, LLC Rehabilitation Hospital 2934 Chardonnay Cir, Shreveport, LA 71106-8418 2015-10-08
1154790327 Bogalusa Rehabilitation Hospital LLC Rehabilitation Hospital 604 Palfrey Street, Franklin, LA 70538 2015-09-17
1124371539 Nrlcl II Rehabilitation Hospital 804 W 25th Ave, Covington, LA 70433-1446 2012-10-23
1346567690 Teche Specialty Hospital, LLC Rehabilitation Hospital 532 Jefferson Ter, New Iberia, LA 70560-4948 2010-04-27
1649503103 New Iberia Rehabilitation Hospital LLC Rehabilitation Hospital 532 Jefferson Terrace Street, New Iberia, LA 70560-4948 2009-09-15
1942441084 Rockwall Baton Rouge Rehab Hospital Lp Rehabilitation Hospital 8000 Summa Avenue, Baton Rouge, LA 70809 2009-03-19
1972753192 Grace Healthcare Management, LLC Rehabilitation Hospital 1125 Paul Maillard Road, Luling, LA 70070 2008-09-24
1275700189 United Medical Healthwest New Orleans LLC Rehabilitation Hospital 3201 B Wall Blvd, Gretna, LA 70056-7755 2008-05-09
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Competitor

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City COUSHATTA
Zip Code 71019

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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