IMPAC REHABILITATION, INC (NPI# 1831187863) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831187863 |
| Entity Type | Organization |
| Organization Name | IMPAC REHABILITATION, INC |
| Practice Address |
4937 Hearst Street Suite 2-f Metairie LA 70001 |
| Practice Telephone | 5047790400 |
| Mailing Telephone | 5047790400 |
| Enumeration Date | 2005-10-13 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MS. MARY RUTH MCVAY (PRESIDENT) |
| Authorized Official Telephone | 5077790400 |
| Authorized Official Credential | SPEECH PATHOLOGI |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0401X |
Clinic/Center Specialization: Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 1438413 | 05 |
| Street Address |
4937 HEARST STREET SUITE 2-F |
| City | METAIRIE |
| State | LA |
| Zip Code | 70001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417573361 | Maria Ann Sands | Social Worker | 2301 Edenborn Avenue, Unit 1002, Metairie, LA 70001 | 2020-06-17 |
| 1104455401 | Grace Elizabeth Beck Coburn | Dentist | 3100 Galleria, Suite 206, Metairie, LA 70001 | 2020-04-07 |
| 1295384709 | Lotus Counseling Center | Counselor | 1 Galleria Blvd, Ste 1900, #1903, Metairie, LA 70001 | 2019-09-06 |
| 1255812160 | Keyota Andrea Russell | Non-emergency Medical Transport (VAN) | 2408 Houma Blvd Apt 315, Metairie, LA 70001 | 2018-08-28 |
| 1184116204 | Benjamin Guidry Md, LLC | Ophthalmology | 4720 S I 10 Service Rd W Ste 410, Metairie, LA 70001 | 2018-06-04 |
| 1700382207 | Kalah Mackenzie Arnett | Student in an Organized Health Care Education/Training Program | 4740 So. I-10 Service Rd., Suite 120, Metairie, LA 70001 | 2018-04-03 |
| 1396240974 | Saba Farooq | Student in an Organized Health Care Education/Training Program | 4740 So. I-10 Service Rd., Suite 120, Metairie, LA 70001 | 2018-03-27 |
| 1427559046 | Ambulatory Care Specialists of New Orleans | Clinic/Center | 2520 Harvard Ave Ste 2a, Metairie, LA 70001 | 2018-02-28 |
| 1023527165 | Jessica Jones | Social Worker | 3616 South I-10 Service Road W, Metairie, LA 70001 | 2017-09-20 |
| 1033633979 | Priscilla Williams | Counselor | 2325 Pasadena Ave, Apt. K, Metairie, LA 70001 | 2017-08-02 |
| Find all providers in zip 70001 | ||||
| Taxonomy Code | 261QR0401X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154629277 | Winterhaven Professional Counseling | Clinic/Center | 2342 Highway 6, Natchitoches, LA 71457-4968 | 2011-03-14 |
| 1225279656 | Agape Comprehensive Outpatient Rehabilitation Facility, Inc. | Clinic/Center | 2835 Hollywood Ave, Shreveport, LA 71108-3848 | 2009-03-15 |
| 1083854087 | Bayou Wellness Center, Inc. | Clinic/Center | 27403 Hwy 190, Suite B, Lacombe, LA 70445-1550 | 2009-03-03 |
| 1831343888 | Meridian Healthcare Services, LLC | Clinic/Center | 3737 General Degaulle Dr, New Orleans, LA 70114-8205 | 2008-11-04 |
| 1902099591 | Enhanced Health Treatment Comprehensive Outpatient Rehabilitation Cent | Clinic/Center | 8060 Crowder Blvd, Suite A, New Orleans, LA 70127-1063 | 2007-08-27 |
| 1104901446 | Monroe Medical Management LLC | Clinic/Center | 8856 Youree Drive, Suite D, Shreveport, LA 71115 | 2006-10-26 |
| 1518076629 | Pelican Healthcare Inc | Clinic/Center | 3205 New Highway 51 Ste B, La Place, LA 70068-6512 | 2006-08-30 |
| 1720027105 | Riverside Rehabilitation Agency, Inc. | Clinic/Center | 8680 Bluebonnet Blvd, Suite D, Baton Rouge, LA 70810-7825 | 2006-06-04 |
| 1134640196 | Comprehensive Wellness Group | Clinic/Center | 3875 Florida Blvd, Baton Rouge, LA 70806-3840 | 2017-06-29 |
| 1437486552 | Crescent Pulmonary Rehab, LLC | Clinic/Center | 4201 Woodland Dr, New Orleans, LA 70131-7339 | 2009-11-10 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on IMPAC REHABILITATION, INC.
| 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.