INTENSIVE SPECIALTY HOSPITAL, LLC (NPI# 1528622065) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528622065 |
| Entity Type | Organization |
| Organization Name | INTENSIVE SPECIALTY HOSPITAL, LLC |
| Practice Address |
1800 Irving Pl Ste 100 Shreveport LA 71101-4608 |
| Mailing Address |
45 Circle Pl Lakewood NJ 08701-3050 |
| Practice Telephone | 3184254096 |
| Practice Fax Number | 3184242627 |
| Mailing Telephone | 3474225970 |
| Mailing Fax Number | 3184242627 |
| Enumeration Date | 2019-04-30 |
| Last Update Date | 2019-04-30 |
| Authorized Official Name | RICK STOCKTON (CEO) |
| Authorized Official Telephone | 3184254096 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282E00000X | Long Term Care Hospital | Hospitals |
| Other Name | Type Code |
|---|---|
| Intensive Specialty Hospital | Doing Business As Name - Organization |
| Street Address |
1800 IRVING PL STE 100 |
| City | SHREVEPORT |
| State | LA |
| Zip Code | 71101-4608 |
| 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 | 282E00000X |
| Grouping | Hospitals |
| Classification | Long Term Care Hospital |
| Long-term care hospitals (LTCHs) furnish extended medical and rehabilitative care to individuals who are clinically complex and have multiple acute or chronic conditions. |
| Notes: Source: American Hospital Association [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790819480 | The Arc of Caddo Bossier | Long Term Care Hospital | 351 Jordan St, Shreveport, LA 71101-4846 | 2007-03-15 |
| 1619906765 | Lifecare Hospitals, Inc | Long Term Care Hospital | 9320 Linwood Ave, Shreveport, LA 71106-7003 | 2006-07-01 |
| 1376511493 | Promise Hospital of Louisiana, Inc | Long Term Care Hospital | 1800 Irving Pl, Shreveport, LA 71101-4608 | 2006-03-14 |
| 1942857784 | Pam Specialty Hospital of Shreveport LLC | Long Term Care Hospital | 8001 Youree Dr, Shreveport, LA 71115-2302 | 2019-08-26 |
| 1386292134 | Kpc Promise Hospital of Louisiana LLC | Long Term Care Hospital | 1800 Irving Pl, Shreveport, LA 71101-4608 | 2019-08-26 |
| 1982164968 | Allegiance Health Management | Long Term Care Hospital | 504 Texas St Ste 200, Shreveport, LA 71101-3526 | 2019-03-25 |
| 1760725964 | New Lifecare Hospitals LLC | Long Term Care Hospital | 9320 Linwood Ave, Shreveport, LA 71106-7003 | 2013-04-05 |
| 1750405122 | The Arc of Caddo Bossier | Long Term Care Hospital | 351 Jordan St, Shreveport, LA 71101-4846 | 2007-03-19 |
| 1669596037 | The Arc of Caddo Bossier | Long Term Care Hospital | 351 Jordan St, Shreveport, LA 71101-4846 | 2007-03-19 |
| 1871627059 | The Arc of Caddo Bossier | Long Term Care Hospital | 351 Jordan St, Shreveport, LA 71101-4846 | 2007-03-16 |
| Find all providers in SHREVEPORT | ||||
| City | SHREVEPORT |
| Zip Code | 71101 |
Please comment or provide details below to improve the information on INTENSIVE SPECIALTY 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.