HEALTH SERVICESGROUP OF LOUISIANA, LLC (NPI# 1245202373) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245202373 |
| Entity Type | Organization |
| Organization Name | HEALTH SERVICESGROUP OF LOUISIANA, LLC |
| Other Organization Name | GULF STATES LTAC WASHINGTON/ST TAMMY |
| Practice Address |
433 Plaza St Bogalusa LA 70427-3729 |
| Practice Telephone | 9857321186 |
| Mailing Telephone | 9857321186 |
| Enumeration Date | 2006-02-02 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | CHERYL WALLACE (CFO) |
| Authorized Official Telephone | 2252162299 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 284300000X | Special Hospital | 418 | LA | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | BLUE CROSS BLUE SHIELD | 60745 | 01 |
| Other Name | Type Code |
|---|---|
| Gulf States LTAC Washington/St Tammy | Doing Business As Name - Organization |
| Street Address |
433 PLAZA ST |
| City | BOGALUSA |
| State | LA |
| Zip Code | 70427-3729 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396742508 | C Bryan Miller | Family Medicine | 433 Plaza St, Bogalusa, LA 70427-3729 | 2005-07-01 |
| 1366080483 | Ashley Shuck | Dietitian, Registered | 433 Plaza St, Bogalusa, LA 70427-3729 | 2019-12-19 |
| 1275170847 | Jessica Oalmann Manchester | Nurse Practitioner | 433 Plaza St, Bogalusa, LA 70427-3729 | 2019-12-03 |
| 1508321944 | Tiffani Lyn Traina | Nurse Practitioner | 433 Plaza St, Bogalusa, LA 70427-3729 | 2019-02-08 |
| 1912401795 | Noelle Marie Bordelon Plaisance | Nurse Practitioner | 433 Plaza St, Bogalusa, LA 70427-3729 | 2018-03-19 |
| 1538511043 | Washington Parish Emergency Physicians Group LLC | Emergency Medicine | 433 Plaza St, Bogalusa, LA 70427-3729 | 2016-07-08 |
| 1093171597 | Margaret Hoppenstedt | Nurse Practitioner | 433 Plaza St, Bogalusa, LA 70427-3729 | 2016-01-13 |
| 1538555792 | Krupa Gandhi | Family Medicine | 433 Plaza St, Bogalusa, LA 70427 | 2015-04-14 |
| 1912334533 | Our Lady of The Angels Hospital, Inc. | Physician Assistant | 433 Plaza St, Bogalusa, LA 70427-3729 | 2013-09-27 |
| 1093140600 | Our Lady of The Angels Hospital, Inc. | General Acute Care Hospital | 433 Plaza St, Bogalusa, LA 70427-3729 | 2013-09-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871116368 | Lori Polk | Social Worker | 1640 S. Columbia St., Bogalusa, LA 70427 | 2020-05-19 |
| 1366914400 | Cherie Campbell | Case Manager/Care Coordinator | 311 Louisiana Avenue, Bogalusa, LA 70427 | 2018-12-31 |
| 1184134900 | Danielle Magee-keys | Counselor | 438 Ave U, Bogalusa, LA 70427 | 2017-10-06 |
| 1235656950 | House of Love, LLC | Foster Care Agency | 905 Davenport Ave, Bogalusa, LA 70427 | 2017-08-23 |
| 1811426315 | Shinetra Nicole Partman | Licensed Practical Nurse | 2106 Ave F, Bogalusa, LA 70427 | 2017-06-08 |
| 1265984082 | Behaviroal Health &wellness LLC | Community/Behavioral Health | 302 Richmond Street Suite A, Bogalousa, LA 70427 | 2016-10-27 |
| 1871942888 | Barry Warris Bolton | Community Health Worker | 712b Louisiana Ave, Bogalusa, LA 70427 | 2016-06-09 |
| 1376882696 | Judy Gail Jacobs | Licensed Practical Nurse | 619 Willis Avenue, Bogalusa Mental Health Center, Bogalusa, LA 70427 | 2013-02-06 |
| 1477836922 | Tuyet Le | Pharmacist | 329 Superior Avenue, Bogalusa, LA 70427 | 2011-09-21 |
| 1164755286 | Lorene A Randazzo | Dietitian, Registered | 433 Palm St, Bogalusa, LA 70427 | 2009-09-08 |
| Find all providers in zip 70427 | ||||
| Taxonomy Code | 284300000X |
| Grouping | Hospitals |
| Classification | Special Hospital |
| A designation by the AHA of a hospital whose primary function of the institution is to provide diagnostic and treatment services for patients who have specified medical conditions, both surgical and nonsurgical. |
| Notes: Source: AHA Guide, Registration section, p. A5. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962441667 | Health Services Group of Louisiana, LLC | Special Hospital | 621 S Columbia St, Bogalusa, LA 70427-4721 | 2006-06-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962916544 | Promise Behavioral Health Hospital of Shreveport, Inc. | Special Hospital | 1800 Irving Pl Fl 3, Shreveport, LA 71101-4608 | 2017-11-19 |
| 1790094985 | Hammond Surgical Hospital, LLC | Special Hospital | 42570 S. Airport Road, Hammond, LA 70403 | 2010-10-05 |
| 1346475522 | Heart Hospital of Acadiana, LLC | Special Hospital | 2621 North Dr Rm 2, Abbeville, LA 70510-4078 | 2009-05-18 |
| 1639323595 | St. Charles Surgical Hospital, LLC | Special Hospital | 1717 St. Charles Ave, New Orleans, LA 70130-5223 | 2008-11-05 |
| 1609062181 | Mary and Joseph Specialty Hospital | Special Hospital | 1420 General Taylor St Ste 400, New Orleans, LA 70115-3718 | 2007-09-19 |
| 1447474416 | Parish Anesthesia Assoc.,ltd Apmc | Special Hospital | 116 Pinehurst Dr, New Orleans, LA 70131-3356 | 2007-04-12 |
| 1700966504 | Mya Thornburgh | Special Hospital | 1424 Crete St, New Orleans, LA 70119-3005 | 2006-10-16 |
| 1538278718 | St. Anne Rehabilitation Hospital, LLC | Special Hospital | 629 Dunn St, Houma, LA 70360-4707 | 2006-08-30 |
| 1003836552 | Prestige Rehab | Special Hospital | 64030 Highway 434 Fl 2, Lacombe, LA 70445-3456 | 2006-07-20 |
| 1659327096 | Paragon Long Term Acute Care Hospital | Special Hospital | 4040 North Blvd, Baton Rouge, LA 70806-3829 | 2006-05-26 |
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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.