PAM II OF COVINGTON, LLC (NPI# 1457604969) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457604969 |
| Entity Type | Organization |
| Organization Name | PAM II OF COVINGTON, LLC |
| Other Organization Name | NORTHSHORE SPECIALTY HOSPITAL |
| Practice Address |
20050 Crestwood Blvd Wound Care Center Covington LA 70433-5207 |
| Practice Telephone | 9858757525 |
| Practice Fax Number | 9858751934 |
| Mailing Telephone | 9858757525 |
| Mailing Fax Number | 9858751934 |
| Enumeration Date | 2012-10-22 |
| Last Update Date | 2012-10-22 |
| Authorized Official Name | MR. JAMES R ASBERRY (CFO) |
| Authorized Official Telephone | 2102139571 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282E00000X | Long Term Care Hospital | 680 | LA | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 1703176 | 05 |
| Other Name | Type Code |
|---|---|
| Northshore Specialty Hospital | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417930751 | Pam II of Covington, LLC | Long Term Care Hospital | 20050 Crestwood Blvd, Covington, LA 70433-5207 | 2005-11-21 |
| Street Address |
20050 CRESTWOOD BLVD WOUND CARE CENTER |
| City | COVINGTON |
| State | LA |
| Zip Code | 70433-5207 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417930751 | Pam II of Covington, LLC | Long Term Care Hospital | 20050 Crestwood Blvd, Covington, LA 70433-5207 | 2005-11-21 |
| 1811267040 | Christopher Charles Keaton | Nurse Practitioner | 20050 Crestwood Blvd, Covington, LA 70433-5207 | 2012-01-04 |
| 1437454519 | Treanor Md, LLC | Family Medicine | 20050 Crestwood Blvd, Covington, LA 70433-5207 | 2011-01-20 |
| 1619290715 | Darcey Medical, LLC | Internal Medicine | 20050 Crestwood Blvd, Covington, LA 70433-5207 | 2010-03-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790301018 | Caroline K. Wilson | Speech-Language Pathologist | 19105 Sandy Lane Suite A, Covington, LA 70433 | 2020-06-23 |
| 1568092013 | Tracy T Aljabi | Nurse Practitioner | 648 Crestwood Dr., Covington, LA 70433 | 2020-01-23 |
| 1093365462 | Maria Robert Hebrock | Marriage & Family Therapist | 71338 La-21, Suite 101, Covington, LA 70433 | 2019-09-17 |
| 1750930806 | Terry Fink Troxler | Speech-Language Pathologist | 521 Covington Point Dr, Covington, LA 70433 | 2019-09-10 |
| 1780231589 | Margaret Nordness Favre | Behavioral Analyst | 3999 Us-190, Covington, LA 70433 | 2019-08-26 |
| 1881241180 | Jennifer Ann Bacile | Counselor | 604 E 15th Street, Covington, LA 70433 | 2019-08-21 |
| 1356906689 | Moving and Caring Transportation LLC | Non-emergency Medical Transport (VAN) | 251 Vintage Drive, Covington, LA 70433 | 2019-05-02 |
| 1780153874 | Nga Endoscopy Center LLC | Clinic/Center | 7015 Hwy 190 E Service Road Suite 103, Covington, LA 70433 | 2018-11-19 |
| 1831667229 | Geauxprodme | Durable Medical Equipment & Medical Supplies | 1304 Champagne Street, Covington, LA 70433 | 2018-11-05 |
| 1376037994 | Pamela Ann Bernabo | Specialist/Technologist, Other | 80 Maison Drive, Covington, LA 70433 | 2018-06-18 |
| Find all providers in zip 70433 | ||||
| Taxonomy Code | 282E00000X |
| Grouping | Hospitals |
| Classification | Long Term Care Hospital |
| Long-term care hospitals (LTCHs) furnish extended medical and rehabilitative care to individuals who are clinically complex and have multiple acute or chronic conditions. |
| Notes: Source: American Hospital Association [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417930751 | Pam II of Covington, LLC | Long Term Care Hospital | 20050 Crestwood Blvd, Covington, LA 70433-5207 | 2005-11-21 |
| 1851393458 | Covington -amg Specialty Hospital, LLC | Long Term Care Hospital | 195 Highland Park Entrance, Covington, LA 70433-7164 | 2005-08-12 |
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|---|---|---|---|---|
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| 1639641764 | Bliant Specialty Hospital, LLC | Long Term Care Hospital | 14500 Hayne Blvd Ste 100, New Orleans, LA 70128-1751 | 2018-12-31 |
| 1881162337 | Bridgepoint Healthcare Louisiana LLC | Long Term Care Hospital | 4200 Houma Blvd Fl 5, Metairie, LA 70006-2970 | 2018-11-02 |
| 1902308349 | Curahealth New Orleans, LLC | Long Term Care Hospital | 1441 Lindberg Dr, Suite 150, Slidell, LA 70458-8056 | 2018-03-01 |
| 1861915415 | Integra Health Services Professional Corporation | Long Term Care Hospital | 1110 Ringgold Ave Ste B, Coushatta, LA 71019-9004 | 2017-07-25 |
| 1962924001 | Lhcg Cxx, LLC | Long Term Care Hospital | 3330 Masonic Dr Fl 4, Alexandria, LA 71301-3841 | 2017-07-11 |
| 1407207632 | Bridgepoint Healthcare Louisiana LLC | Long Term Care Hospital | 1101 Medical Center Blvd Fl 7, Marrero, LA 70072-3147 | 2016-06-29 |
| 1386016848 | 999999 | Long Term Care Hospital | 1013 N Causeway Blvd Ste 201, Metairie, LA 70001-4100 | 2015-10-23 |
| 1891015251 | Ebonyslacewigs | Long Term Care Hospital | 1790 Pratt Dr, New Orleans, LA 70122-2408 | 2010-06-08 |
| Find all providers with the same taxonomy | ||||
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| 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.