RIVERSIDE REHABILITATION AGENCY, INC. (NPI# 1720027105) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720027105 |
| Entity Type | Organization |
| Organization Name | RIVERSIDE REHABILITATION AGENCY, INC. |
| Practice Address |
8680 Bluebonnet Blvd Suite D Baton Rouge LA 70810-7825 |
| Mailing Address |
6835 S Fieldgate Ct Baton Rouge LA 70808-5452 |
| Practice Telephone | 2259362021 |
| Mailing Telephone | 2259362021 |
| Enumeration Date | 2006-06-04 |
| Last Update Date | 2011-10-19 |
| Authorized Official Name | MS. MARTHA ANN BANKS (OWNER) |
| Authorized Official Telephone | 2259362021 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0401X |
Clinic/Center Specialization: Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 1566250 | 05 |
| Street Address |
8680 BLUEBONNET BLVD SUITE D |
| City | BATON ROUGE |
| State | LA |
| Zip Code | 70810-7825 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922125632 | Bridget Comfort Thibodaux | Dentist | 8680 Bluebonnet Blvd, Suite E, Baton Rouge, LA 70810-7825 | 2007-03-26 |
| 1659404077 | Walter J. Jung Professional Dental Corporation | Dentist | 8680 Bluebonnet Blvd, Suite C, Baton Rouge, LA 70810-7825 | 2007-03-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639734973 | Baton Rouge Clinic, A Medical Corporation | Podiatrist | 8160 Ymca Blvd, Suite C, Baton Rouge, LA 70810 | 2019-05-02 |
| 1699278135 | Taylor Denise Debourg | Specialist/Technologist | 8921 Boone Drive, Baton Rouge, LA 70810 | 2018-03-12 |
| 1528583945 | Baton Rouge Perio, L.L.C. | Dentist | 10723 N. Oak Hills Parkway, Bldg. B, Baton Rouge, LA 70810 | 2017-08-07 |
| 1902334931 | Reginald Shaffer | Counselor | 13621 Kenner Ave Apt C, Baton Rouge, LA 70810 | 2017-06-03 |
| 1770010381 | Keona Julien | Case Manager/Care Coordinator | 9270 Siegen Ln Suite 101, Baton Rouge, LA 70810 | 2017-05-12 |
| 1205372893 | Grand Canyon Mobile Dentistry | Dentist | 8480 Bluebonnet Blvd Ste E, Baton Rouge, LA 70810 | 2017-01-06 |
| 1215395173 | Kimberly Booker | Counselor | 9371 Bimini Dr, Baton Rouge, LA 70810 | 2016-02-08 |
| 1710354022 | St Gabriel Health Clinic, Inc | Clinic/Center | 9211 Parkway Dr, Baton Rouge, LA 70810 | 2015-08-24 |
| 1942682430 | Jasmine Alexander | Counselor | 9270 Siegen Ln Bldg 101, Baton Rouge, LA 70810 | 2015-06-22 |
| 1073991535 | James Michael Robinson | Family Medicine | 12525 Perkins Rd Ste A, Baton Rouge, LA 70810 | 2015-05-15 |
| Find all providers in zip 70810 | ||||
| Taxonomy Code | 261QR0401X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134640196 | Comprehensive Wellness Group | Clinic/Center | 3875 Florida Blvd, Baton Rouge, LA 70806-3840 | 2017-06-29 |
| 1760533483 | Victory Physical Therapy & Rehab Clinic | Clinic/Center | 6554 Florida Blvd, Suite 119, Baton Rouge, LA 70806-4474 | 2007-01-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154629277 | Winterhaven Professional Counseling | Clinic/Center | 2342 Highway 6, Natchitoches, LA 71457-4968 | 2011-03-14 |
| 1225279656 | Agape Comprehensive Outpatient Rehabilitation Facility, Inc. | Clinic/Center | 2835 Hollywood Ave, Shreveport, LA 71108-3848 | 2009-03-15 |
| 1083854087 | Bayou Wellness Center, Inc. | Clinic/Center | 27403 Hwy 190, Suite B, Lacombe, LA 70445-1550 | 2009-03-03 |
| 1831343888 | Meridian Healthcare Services, LLC | Clinic/Center | 3737 General Degaulle Dr, New Orleans, LA 70114-8205 | 2008-11-04 |
| 1902099591 | Enhanced Health Treatment Comprehensive Outpatient Rehabilitation Cent | Clinic/Center | 8060 Crowder Blvd, Suite A, New Orleans, LA 70127-1063 | 2007-08-27 |
| 1104901446 | Monroe Medical Management LLC | Clinic/Center | 8856 Youree Drive, Suite D, Shreveport, LA 71115 | 2006-10-26 |
| 1518076629 | Pelican Healthcare Inc | Clinic/Center | 3205 New Highway 51 Ste B, La Place, LA 70068-6512 | 2006-08-30 |
| 1831187863 | Impac Rehabilitation, Inc | Clinic/Center | 4937 Hearst Street, Suite 2-f, Metairie, LA 70001 | 2005-10-13 |
| 1437486552 | Crescent Pulmonary Rehab, LLC | Clinic/Center | 4201 Woodland Dr, New Orleans, LA 70131-7339 | 2009-11-10 |
| 1497900476 | Xcel Therapy Solutions, LLC | Clinic/Center | 1707 Warren St, Suite B, Winnsboro, LA 71295-2939 | 2008-11-18 |
| Find all providers with the same taxonomy | ||||
| City | BATON ROUGE |
| Zip Code | 70810 |
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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.