EAST JEFFERSON GENERAL HOSPITAL (NPI# 1538174347) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538174347 |
| Entity Type | Organization |
| Organization Name | EAST JEFFERSON GENERAL HOSPITAL |
| Other Organization Name | JEFFERSON PARISH HOSPITAL SERVICE DISTRICT #2 |
| Practice Address |
4200 Houma Boulevard Metairie LA 70006-0000 |
| Practice Telephone | 5045034804 |
| Practice Fax Number | 5045036046 |
| Mailing Telephone | 5045034804 |
| Mailing Fax Number | 5045036046 |
| Enumeration Date | 2006-07-30 |
| Last Update Date | 2017-03-10 |
| NPI Deactivation Date | 01/09/2017 |
| NPI Reactivation Date | 2017-01-26 |
| Authorized Official Name | MR. JAMES P. REVELS (DIR OF FINANCIAL PLANNING & ANALYSI) |
| Authorized Official Telephone | 5045034804 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 273R00000X | Psychiatric Unit | 122 | LA | Hospital Units |
| N | 273Y00000X | Rehabilitation Unit | 122 | LA | Hospital Units |
| N | 311500000X | Alzheimer Center (Dementia Center) | 2672 | LA | Nursing & Custodial Care Facilities |
| N | 314000000X | Skilled Nursing Facility | 122 | LA | Nursing & Custodial Care Facilities |
| N | 341600000X | Ambulance | 9110018 | LA | Transportation Services |
| Y | 282N00000X | General Acute Care Hospital | 122 | LA | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 1705055 | 05 | |
| LA | 1735183 | 05 | |
| LA | 1430234 | 05 | |
| LA | 1474886 | 05 |
| Other Name | Type Code |
|---|---|
| Jefferson Parish Hospital Service District #2 | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275081465 | East Jefferson General Hospital | General Acute Care Hospital | 3726 Houma Blvd, Metairie, LA 70006-4116 | 2016-09-15 |
| 1891884516 | East Jefferson General Hospital | Obstetrics & Gynecology | 4228 Houma Blvd Ste 200, Metairie, LA 70006-3004 | 2006-10-12 |
| 1295014090 | East Jefferson General Hospital | Pharmacy | 4200 Houma Blvd, Metairie, LA 70006-2970 | 2011-08-10 |
| 1306133483 | East Jefferson General Hospital | General Acute Care Hospital | 4200 Houma Blvd, Metairie, LA 70006-2970 | 2011-07-08 |
| Street Address |
4200 HOUMA BOULEVARD |
| City | METAIRIE |
| State | LA |
| Zip Code | 70006-0000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437786365 | Christina Alder Humble | Behavior Technician | 4201 N 1-10 Service Road W., Metairie, LA 70006 | 2020-03-23 |
| 1285270959 | Brittanie Renee Tank | Behavior Technician | 4201 N 1-10 Service Rd, W, Metairie, LA 70006 | 2019-11-18 |
| 1447896105 | Jacob Dent Dds Dentists of Metairie A Professional Corporation | Dentist | 5201 Veterans Memorial Blvd., Suite A, Metairie, LA 70006 | 2019-11-18 |
| 1417504861 | Caryn Tesia Washington | Behavior Technician | 4201 N 1-10 Service Rd W., Metarie, LA 70006 | 2019-08-21 |
| 1568023356 | Brittany Nicole Davis | Behavioral Analyst | 4201 N-i 10 Service Rd, Metairie, LA 70006 | 2019-06-24 |
| 1295393650 | Beth Ann Martin | Behavior Technician | 4201 N. Service Road W, Metairie, LA 70006 | 2019-05-31 |
| 1942866561 | Manunique Johnson | Behavior Technician | 4201 N-1-10 Service Rd W., Metairie, LA 70006 | 2019-05-20 |
| 1972068419 | Stacey R Phipps | Behavior Technician | 4201 N 1-10 Service Rd. W., Metairie, LA 70006 | 2019-02-08 |
| 1740752799 | Na'triana Clark | Behavior Technician | 4210 N I-10 Service Rd, Metairie, LA 70006 | 2018-12-31 |
| 1861969131 | Lauren Hay Hughes | Behavior Technician | 4201 N 1-10 Service Rd. West, Metairie, LA 70006 | 2018-10-25 |
| Find all providers in zip 70006 | ||||
| Taxonomy Code | 282N00000X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033746599 | Just Health | General Acute Care Hospital | 1 Galleria Blvd Ste 1100, Metairie, LA 70001-7534 | 2020-03-25 |
| 1275081465 | East Jefferson General Hospital | General Acute Care Hospital | 3726 Houma Blvd, Metairie, LA 70006-4116 | 2016-09-15 |
| 1306133483 | East Jefferson General Hospital | General Acute Care Hospital | 4200 Houma Blvd, Metairie, LA 70006-2970 | 2011-07-08 |
| 1295036770 | Crescent City Surgical Centre Operating Company, L.L.C. | General Acute Care Hospital | 3017 Galleria Dr, Metairie, LA 70001-2009 | 2010-11-15 |
| 1992720791 | Omega Hospital LLC | General Acute Care Hospital | 2525 Severn Ave, Metairie, LA 70002-5932 | 2006-07-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962024620 | The Carpenter Center for Palliative Medicine of Lafayette, LLC | General Acute Care Hospital | 923 West Pinhook Road, Lafayette, LA 70503 | 2020-05-15 |
| 1861046112 | Lafayette General Medical Center Inc | General Acute Care Hospital | 1213 Coolidge Street, Lafayette, LA 70503 | 2019-07-25 |
| 1245707884 | Prairieville Emergency Physicians, Pllc | General Acute Care Hospital | 37358 Market Place Dr., Prairieville, LA 70769 | 2018-11-01 |
| 1902310899 | Islam LLC | General Acute Care Hospital | 9815 Paragon Ln, Shreveport, LA 71115 | 2017-11-30 |
| 1669998852 | Amd Healthcare Lc, LLC | General Acute Care Hospital | 3730 Nelson Road, Lake Charles, LA 70605 | 2017-08-18 |
| 1194273508 | Deana Leonard | General Acute Care Hospital | 173 Rue De Levert, Raceland, LA 70394-2057 | 2016-09-14 |
| 1295100071 | Borne 2b-np,llc | General Acute Care Hospital | 28672 Berry Todd Rd, Lacombe, LA 70445-3750 | 2015-12-05 |
| 1740658525 | Greenlight Transportation | General Acute Care Hospital | 7170 Pinebrook Dr, New Orleans, LA 70128-4623 | 2015-09-09 |
| 1184007700 | New York Methodist Hospital | General Acute Care Hospital | 1015 Wyndham N, Gretna, LA 70056-8377 | 2015-07-01 |
| 1245648393 | Madiha Tariq | General Acute Care Hospital | Rheumatology Clinic, 1501 Kings Hwy, Sheveport, LA 71103 | 2014-07-31 |
| 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.