SHREVEPORT DOCTORS' HOSPITAL (NPI# 1124229398) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124229398 |
| Entity Type | Organization |
| Organization Name | SHREVEPORT DOCTORS' HOSPITAL |
| Practice Address |
1130 Louisiana Ave Shreveport LA 71101-3908 |
| Mailing Address |
Po Box 676689 Dallas TX 75267-6689 |
| Practice Telephone | 3182271211 |
| Mailing Telephone | 9727055134 |
| Enumeration Date | 2007-05-29 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | BRIAN KIRK (CHIEF FINANCIAL OFFICER) |
| Authorized Official Telephone | 3186784206 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 273Y00000X | Rehabilitation Unit | Hospital Units |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 1749150 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629279468 | Shreveport Doctors' Hospital | Psychiatric Unit | 1130 Louisiana Ave, Shreveport, LA 71101-3908 | 2007-05-30 |
| Street Address |
1130 LOUISIANA AVE |
| City | SHREVEPORT |
| State | LA |
| Zip Code | 71101-3908 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457320616 | Mrunalini B Shah | Physical Medicine & Rehabilitation | 1130 Louisiana Ave, Shreveport, LA 71101-3908 | 2006-03-17 |
| 1699966432 | Simba Ventures Hospital La, LLC | Psychiatric Unit | 1130 Louisiana Ave, Shreveport, LA 71101-3908 | 2007-08-07 |
| 1053502294 | Simba Ventures Hospital La, LLC | General Acute Care Hospital | 1130 Louisiana Ave, Shreveport, LA 71101-3908 | 2007-08-05 |
| 1629279468 | Shreveport Doctors' Hospital | Psychiatric Unit | 1130 Louisiana Ave, Shreveport, LA 71101-3908 | 2007-05-30 |
| 1437210630 | Stephen W. Clark | Nurse Anesthetist, Certified Registered | 1130 Louisiana Ave, Shreveport, LA 71101-3908 | 2006-12-12 |
| 1255492450 | Stephen C Smith | Nurse Anesthetist, Certified Registered | 1130 Louisiana Ave, Shreveport, LA 71101-3908 | 2006-12-12 |
| 1912066556 | Thomas L. Smith | Nurse Anesthetist, Certified Registered | 1130 Louisiana Ave, Shreveport, LA 71101-3908 | 2006-12-08 |
| 1861407298 | Doctors Hospital Er Group | Emergency Medicine | 1130 Louisiana Ave, Shreveport, LA 71101-3908 | 2006-07-31 |
| 1528011673 | Shreveport Doctors Hospital 2003, Ltd. | General Acute Care Hospital | 1130 Louisiana Ave, Shreveport, LA 71101-3908 | 2006-05-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255988630 | Renee Jewitt | Case Manager/Care Coordinator | 1513 Line Avenue, Suite 225, Shreveport, LA 71101 | 2019-08-21 |
| 1942770094 | Bessie Larry | Case Manager/Care Coordinator | 1513 Line Av, 222, Shreveport, LA 71101 | 2018-12-03 |
| 1750875944 | Jarvis Decarleonne Larry | Community Health Worker | 1513 Line Ave # 222, Shreveport, LA 71101 | 2018-06-20 |
| 1871083485 | Kimberly B. Mcclelland, Lcsw | Counselor | 820 Jordan St. Ste 510w, Shreveport, LA 71101 | 2018-05-18 |
| 1982106456 | Hudson Amc LLC | Internal Medicine | 1800 Irving Place, Shreveport, LA 71101 | 2018-03-01 |
| 1528572955 | Spencer Ron Floyd | Counselor | 1717 Marshall Street, Shreveport, LA 71101 | 2017-11-21 |
| 1578088076 | Brittany Morris | Case Manager/Care Coordinator | 1835 Spring Street Annex Building, Shreveport, LA 71101 | 2017-08-07 |
| 1275058794 | Diane Williams | Case Manager/Care Coordinator | 217 Jones St Apt 510, Shreveport, LA 71101 | 2017-08-04 |
| 1386195972 | Jakeya Woodbury | Counselor | 453 Stoner Ave, Shreveport, LA 71101 | 2016-10-18 |
| 1922459643 | Arlene Huling | Counselor | 449 Egan Street, Shreveport, LA 71101 | 2016-06-23 |
| Find all providers in zip 71101 | ||||
| Taxonomy Code | 273Y00000X |
| Grouping | Hospital Units |
| Classification | Rehabilitation Unit |
| In general, a distinct unit of a general acute care hospital that provides care encompassing a comprehensive array of restoration services for the disabled and all support services necessary to help patients attain their maximum functional capacity. Source: AHA Annual Survey p. A10 1996 AHA Guide. For Medicare, a distinct part of a general acute care hospital providing inpatient rehabilitation services that meets the following requirements. Rehabilitation Units have in effect a preadmission screening procedure under which each prospective patient’s condition and medical history are reviewed to determine whether the patient is likely to benefit significantly from an intensive inpatient program or assessment; ensure that the patients receive close medical supervision and furnish, through the use of qualified personnel, rehabilitation nursing, physical therapy and occupational therapy, plus, as needed, speech therapy, social services or psychological services and orthotic and prosthetic services; have a plan of treatment for each inpatient that is established, reviewed, and revised as needed by a physician in consultation with other professional personnel who provide services to the patient; use a coordinated multidisciplinary team approach in the rehabilitation of each inpatient, as documented by periodic clinical entries made in the patient’s medical record to note the patient's status in relationship to goal attainment, and that team conferences are held at least every two weeks to determine the appropriateness of treatment; have a director of rehabilitation who provides services to the unit and its inpatients for at least 20 hours a week, is a doctor of medicine or osteopathy, is licensed under State law to practice medicine or surgery, and has had, after completing a one-year hospital internship at least two years of training or experience in the medical management of inpatients requiring rehabilitation services. |
| Notes: Source: Code of Federal Regulations #42, Section 412.29. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710039896 | Willis Knighton Medical Center, Inc. | Rehabilitation Unit | 1111 Line Avenue, Shreveport, LA 71101 | 2007-01-17 |
| 1003919168 | Monroe Medical Management | Rehabilitation Unit | 3736 N Market St, Suite 100, Shreveport, LA 71107-3104 | 2006-09-06 |
| 1356387146 | Christus Health Northern Louisiana | Rehabilitation Unit | 1035 Margaret Pl, Shreveport, LA 71101-4315 | 2006-06-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134754302 | New Lifecare Specialty Hospital of North Louisiana, LLC | Rehabilitation Unit | 1401b Ezelle St, Ruston, LA 71270-7218 | 2020-03-09 |
| 1578003265 | Lafouche Parish School Board | Rehabilitation Unit | 1355 Tiger Dr, Thibodaux, LA 70301-4236 | 2017-03-01 |
| 1073985529 | Curahealth New Orleans, LLC | Rehabilitation Unit | 3801 Bienville St, New Orleans, LA 70119 | 2015-10-23 |
| 1962710384 | Metropolitan Comprehensive Rehabilitation | Rehabilitation Unit | 5050 W. Andrews Cir, New Orleans, LA 70128-0000 | 2010-09-20 |
| 1528395621 | Louisiana State University | Rehabilitation Unit | 5213 Citrus Blvd Apt S335, River Ridge, LA 70123-7229 | 2009-11-10 |
| 1033264718 | New Beginnings Today, LLC | Rehabilitation Unit | 202 Isaiah Dr, Lafayette, LA 70508-9002 | 2007-01-24 |
| 1598742918 | Ochsner Clinic Foundation | Rehabilitation Unit | 1221 S Clearview Pkwy, Jefferson, LA 70121-1011 | 2005-12-28 |
| 1134126659 | Caldwell Memorial Hospital Inc | Rehabilitation Unit | 411 Main St, Columbia, LA 71418-6704 | 2005-06-30 |
| 1750999157 | Beauvais Health, LLC | Rehabilitation Unit | 2810 Ambassador Caffery Pkwy, Lafayette, LA 70506-5906 | 2020-07-21 |
| 1518513340 | Ochsner Morgan City LLC | Rehabilitation Unit | 1125 Marguerite St, Morgan City, LA 70380-1855 | 2019-08-16 |
| Find all providers with the same taxonomy | ||||
| City | SHREVEPORT |
| Zip Code | 71101 |
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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.