BASTROP REHABILITATION HOSPITAL, LLC (NPI# 1033618616) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033618616 |
| Entity Type | Organization |
| Organization Name | BASTROP REHABILITATION HOSPITAL, LLC |
| Other Organization Name | SOUTH OUACHITA CLINIC |
| Practice Address |
4310 S Grand St Ste 1 Monroe LA 71202-6322 |
| Mailing Address |
816 Benton Rd Bossier City LA 71111-3744 |
| Practice Telephone | 3187460420 |
| Practice Fax Number | 3187521940 |
| Mailing Telephone | 3182435533 |
| Mailing Fax Number | 3187521940 |
| Enumeration Date | 2018-02-08 |
| Last Update Date | 2018-02-08 |
| Authorized Official Name | WILLIAM MEANS (ADMINISTRATOR) |
| Authorized Official Telephone | 3187460420 |
| Is Organization Subpart | Y |
| Parent Organization Name | BASTROP REHABILITATION HOSPITAL, LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 1700517 | 05 |
| Other Name | Type Code |
|---|---|
| South Ouachita Clinic | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760961338 | Bastrop Rehabilitation Hospital, LLC | Clinic/Center | 4310 S Grand St Ste 1, Monroe, LA 71202-6322 | 2018-08-14 |
| 1851619241 | Bastrop Rehabilitation Hospital, LLC | Rehabilitation Hospital | 4310 S Grand St, Monroe, LA 71202-6322 | 2010-05-10 |
| Street Address |
4310 S GRAND ST STE 1 |
| City | MONROE |
| State | LA |
| Zip Code | 71202-6322 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588917363 | Tamara Tidwell Cerniglia | Nurse Practitioner | 4310 S Grand St Ste 1, Monroe, LA 71202 | 2012-10-18 |
| 1760961338 | Bastrop Rehabilitation Hospital, LLC | Clinic/Center | 4310 S Grand St Ste 1, Monroe, LA 71202-6322 | 2018-08-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578170726 | Ap&g Transportation LLC | Non-emergency Medical Transport (VAN) | 211 Malvern St., Monroe, LA 71202 | 2020-09-30 |
| 1902419625 | Marilyn F Goldman | Non-emergency Medical Transport (VAN) | 1001 Wilton Dr, Monroe, LA 71202 | 2020-08-24 |
| 1114583069 | Brandon Rashaard Collins | Case Manager/Care Coordinator | 5504 Robinson Drive, Monroe, LA 71202 | 2019-05-16 |
| 1285131326 | Jerrel Stills | Counselor | 296 Forest Oaks Rd, Monroe, LA 71202 | 2018-04-06 |
| 1164930269 | Jakira Gibson | Case Manager/Care Coordinator | 308 Vegas Dr, Monroe, LA 71202 | 2018-01-11 |
| 1457870321 | Whitney Nicole Allen | Counselor | 806 North 31st Street, Monroe, LA 71202 | 2017-09-12 |
| 1821535527 | Collins Wade | Counselor | 808 S. Second St., Monroe, LA 71202 | 2017-01-20 |
| 1821533639 | Geoi Smart | Social Worker | 1602 Oaklawn Dr, Monroe, LA 71202 | 2017-01-03 |
| 1699124214 | Melody Miller | Case Manager/Care Coordinator | 205 Stacy Dr Apt A, Monroe, LA 71202 | 2016-06-04 |
| 1548618192 | Samuel Anjera Spivey Jr. | Case Manager/Care Coordinator | 110 Blackwood Dr, Monroe, LA 71202 | 2016-05-24 |
| Find all providers in zip 71202 | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447294608 | Pella Regional Health Center | Clinic/Center | 100 East Sherman Street, Monroe, IA 50170 | 2006-06-16 |
| 1508375510 | Adams County Memorial Hospital | Clinic/Center | 205 Tower Dr, Monroe, IN 46772-9362 | 2017-09-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356942155 | Clhg-ville Platte LLC | Clinic/Center | 804 E. Main Street, Ville Platte, LA 70586 | 2020-11-06 |
| 1568062446 | Lhcg Clxix, LLC | Clinic/Center | 821 N Union St, Opelousas, LA 70570-6313 | 2020-10-29 |
| 1760089791 | Blanchard Medical | Clinic/Center | 5948 N Market St, Shreveport, LA 71107-2017 | 2020-10-02 |
| 1922619238 | Pediatric Group of Acadiana, LLC | Clinic/Center | 818 W. Veterans Memorial, Kaplan, LA 70548 | 2020-08-11 |
| 1720606478 | Dr Lawanda Lamar Bellamy Md A Professional Medical Corporation | Clinic/Center | 1307 Crowley-rayne Hwy, Suite B, Crowley, LA 70526 | 2020-07-09 |
| 1669002002 | Franklin Parish Hospital Service Dist 1 | Clinic/Center | 7645 Gilbert Street, Gilbert, LA 71336 | 2020-01-24 |
| 1184260937 | Children's International, LLC | Clinic/Center | 5151 Plank Rd Ste 190, Baton Rouge, LA 70805-3501 | 2019-11-26 |
| 1003467440 | Clhg-acadian LLC | Clinic/Center | 151 Hill St Ste 102, Eunice, LA 70535-5845 | 2019-09-26 |
| 1164073524 | Tangi Wellness & Health | Clinic/Center | 906 C M Fagan Dr Ste B3, Hammond, LA 70403-6056 | 2019-09-26 |
| 1679126510 | Pediatric Group of Acadiana, LLC | Clinic/Center | 1307 Crowley Rayne Hwy Ste C, Crowley, LA 70526-8210 | 2019-07-19 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on BASTROP REHABILITATION HOSPITAL, LLC.
| 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.