NEW LIFE REHABILITATION OF SHREVEPORT, LLC (NPI# 1760522130) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760522130 |
| Entity Type | Organization |
| Organization Name | NEW LIFE REHABILITATION OF SHREVEPORT, LLC |
| Practice Address |
2140 Midway St Shreveport LA 71108-2206 |
| Practice Telephone | 3186312345 |
| Mailing Telephone | 3186312345 |
| Enumeration Date | 2007-02-07 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. MARC PEARCE (ADMINISTRATOR) |
| Authorized Official Telephone | 3186312345 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 283X00000X | Rehabilitation Hospital | Hospitals |
| Street Address |
2140 MIDWAY ST |
| City | SHREVEPORT |
| State | LA |
| Zip Code | 71108-2206 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225068950 | St. Lukes Rehabilitaion Hospital | Rehabilitation Hospital | 2140 Midway St, Shreveport, LA 71108-2206 | 2006-07-05 |
| 1417173311 | St Lukes Rehabilitation Hospital of Shreveport LLC | General Acute Care Hospital | 2140 Midway St, Shreveport, LA 71108-2206 | 2007-04-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528551140 | Berkelia Player | Case Manager/Care Coordinator | 8108 Kingston Road Suite 101 B, Shreveport, LA 71108 | 2018-06-08 |
| 1548757305 | Kenya Cawthorne | Counselor | 1520 Oakdale St, Shreveport, LA 71108 | 2018-04-17 |
| 1083112890 | Chantanell Johns | Case Manager/Care Coordinator | 8101 Kingston Rd Ste 101b, Shreveport, LA 71108 | 2018-01-26 |
| 1912425935 | Mildred Rivers | Case Manager/Care Coordinator | 4718 Hearne Ave, Shreveport, LA 71108 | 2017-08-30 |
| 1790205326 | Britney Ashton | Case Manager/Care Coordinator | 1910 Hickory St, Shreveport, LA 71108 | 2017-06-24 |
| 1548792674 | La'travia Jackson | Case Manager/Care Coordinator | 3430 Fernwood Ln, Shreveport, LA 71108 | 2017-03-29 |
| 1962941476 | Johnetta Marshall | Counselor | 6901 Despot Rd, Shreveport, LA 71108 | 2017-02-16 |
| 1295283992 | Shaun Cooper | Case Manager/Care Coordinator | 8824 Ruth Ave, Shreveport, LA 71108 | 2016-09-12 |
| 1508313735 | Tara Black | Counselor | 7019 Louise St, Shreveport, LA 71108 | 2016-09-06 |
| 1659828960 | Maranda Bolden | Counselor | 4906 Merlin Circle, Apt 4906, Shreveport, LA 71108 | 2016-09-02 |
| Find all providers in zip 71108 | ||||
| Taxonomy Code | 283X00000X |
| Grouping | Hospitals |
| Classification | Rehabilitation Hospital |
| A hospital or facility that provides health-related, social and/or vocational services to disabled persons to help them attain their maximum functional capacity. |
| Notes: Source: Joint Commission on Accreditation of Healthcare Organizations, Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Oakbrook Terrace, IL: 1994, p. 323 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154956241 | Shreveport Rehabilitation Hospital, LLC | Rehabilitation Hospital | 1451 Fern Circle, Shreveport, LA 71105-7501 | 2020-03-09 |
| 1124499751 | Sportmedica, LLC | Rehabilitation Hospital | 2934 Chardonnay Cir, Shreveport, LA 71106-8418 | 2015-10-08 |
| 1225068950 | St. Lukes Rehabilitaion Hospital | Rehabilitation Hospital | 2140 Midway St, Shreveport, LA 71108-2206 | 2006-07-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255703468 | Readi-steadi, LLC | Rehabilitation Hospital | 7487 Lillie Valley Dr, Gonzales, LA 70737-8174 | 2015-10-27 |
| 1154790327 | Bogalusa Rehabilitation Hospital LLC | Rehabilitation Hospital | 604 Palfrey Street, Franklin, LA 70538 | 2015-09-17 |
| 1124371539 | Nrlcl II | Rehabilitation Hospital | 804 W 25th Ave, Covington, LA 70433-1446 | 2012-10-23 |
| 1346567690 | Teche Specialty Hospital, LLC | Rehabilitation Hospital | 532 Jefferson Ter, New Iberia, LA 70560-4948 | 2010-04-27 |
| 1649503103 | New Iberia Rehabilitation Hospital LLC | Rehabilitation Hospital | 532 Jefferson Terrace Street, New Iberia, LA 70560-4948 | 2009-09-15 |
| 1942441084 | Rockwall Baton Rouge Rehab Hospital Lp | Rehabilitation Hospital | 8000 Summa Avenue, Baton Rouge, LA 70809 | 2009-03-19 |
| 1972753192 | Grace Healthcare Management, LLC | Rehabilitation Hospital | 1125 Paul Maillard Road, Luling, LA 70070 | 2008-09-24 |
| 1275700189 | United Medical Healthwest New Orleans LLC | Rehabilitation Hospital | 3201 B Wall Blvd, Gretna, LA 70056-7755 | 2008-05-09 |
| 1992979967 | Westview Specialty Rehabilitaion Hospital LLC | Rehabilitation Hospital | 59355 Riverwest Drive, Plaquemine, LA 70764-3915 | 2008-04-21 |
| 1437346186 | Specialty Rehabilitation Hospital, L.L.C. | Rehabilitation Hospital | 1110 Ringgold Avenue, Suite B, Coushatta, LA 71019 | 2007-09-26 |
| Find all providers with the same taxonomy | ||||
| City | SHREVEPORT |
| Zip Code | 71108 |
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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.