KAILO LTAC HOSPITAL, LLC (NPI# 1457313827) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1457313827 |
Entity Type | Organization |
Organization Name | KAILO LTAC HOSPITAL, LLC |
Other Organization Name | CROWLEY REHAB HOSPITAL, LLC |
Practice Address |
713 N Avenue L Crowley LA 70526-3832 |
Practice Telephone | 3377832859 |
Practice Fax Number | 3377832891 |
Mailing Telephone | 3377832859 |
Mailing Fax Number | 3377832891 |
Enumeration Date | 2006-04-03 |
Last Update Date | 2013-01-22 |
Authorized Official Name | MR. E. PAUL BROUSSARD (CEO/CFO) |
Authorized Official Telephone | 3377883600 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
532 | LA | Ambulatory Health Care Facilities |
Y | 284300000X | Special Hospital | 532 | LA | Hospitals |
State | Issuer | Identifier | Type Code |
---|---|---|---|
LA | 1703109 | 05 |
Other Name | Type Code |
---|---|
Crowley Rehab Hospital, LLC | Former Legal Business Name - Organization |
Street Address |
713 N AVENUE L |
City | CROWLEY |
State | LA |
Zip Code | 70526-3832 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1376180455 | Vickie Lynn Gauthier | Registered Nurse | 713 N Avenue L, Crowley, LA 70526-3832 | 2019-12-07 |
1124664271 | Kate Louviere | Nurse Practitioner | 713 N Avenue L, Crowley, LA 70526-3832 | 2019-11-25 |
1235631177 | Allison Cara Kidder | Social Worker | 713 N Avenue L, Crowley, LA 70526-3832 | 2018-03-07 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1720606478 | Dr Lawanda Lamar Bellamy Md A Professional Medical Corporation | Clinic/Center | 1307 Crowley-rayne Hwy, Suite B, Crowley, LA 70526 | 2020-07-09 |
1255950192 | Just Health | Clinic/Center | 500 Northeast Court Circle, Ste 3, Crowley, LA 70526 | 2020-04-10 |
1942724901 | Megan Cart Chachere | Family Medicine | 1307 Crowley Rayne Hwy Ste D, Crowley, LA 70526 | 2017-08-01 |
1598205940 | Astacia Ford | Counselor | 1325 Wright Ave. Suite D, Crowley, LA 70526 | 2017-03-05 |
1982032041 | Susan Carnes | Registered Nurse | 1822 West Second St., Crowley, LA 70526 | 2013-10-28 |
1679842280 | Todd Anthony Touchet | Dentist | 117 Blue Lake Drive, Crowley, LA 70526 | 2011-12-28 |
1417270067 | Envision Pathology LLC | Clinical Medical Laboratory | 806 North Avenue K, Suite 101, Crowley, LA 70526 | 2010-03-10 |
1205028412 | Patrick Dale Leleux Jr. | Internal Medicine | 1307 Crowley Rayne Hwy Ste E, Crowley, LA 70526 | 2007-08-11 |
1164634283 | Acadia Parish School System | Clinic/Center | 2402 N. Parkerson Avenue, Crowley, LA 70526 | 2007-05-03 |
1497801450 | Kurt S Rothermel | Dentist | 817 North Avenue K, Crowley, LA 70526 | 2007-01-25 |
Find all providers in zip 70526 |
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 |
---|---|---|---|---|
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 |
1962441667 | Health Services Group of Louisiana, LLC | Special Hospital | 621 S Columbia St, Bogalusa, LA 70427-4721 | 2006-06-06 |
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.