PREMIER REHAB (NPI# 1811292865) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811292865 |
| Entity Type | Organization |
| Organization Name | PREMIER REHAB |
| Practice Address |
211 E Worthy St Bldg 4 Gonzales LA 70737-4232 |
| Practice Telephone | 2256447044 |
| Practice Fax Number | 2256444414 |
| Mailing Telephone | 2256447044 |
| Mailing Fax Number | 2256444414 |
| Enumeration Date | 2011-01-24 |
| Last Update Date | 2011-01-24 |
| Authorized Official Name | MRS. BRIDGET REDMOND (CEO) |
| Authorized Official Telephone | 2256447044 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 311ZA0620X |
Custodial Care Facility Specialization: Adult Care Home |
01007 | LA | Nursing & Custodial Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790921724 | Premier Rehab | Clinic/Center | 500 West Countyline Rd, Tougaloo, MS 39174 | 2008-12-22 |
| 1144340548 | Premier Rehab | Physical Therapist | 230 Beasley Rd, Jackson, MS 39206-2944 | 2007-03-30 |
| 1073818399 | Premier Rehab | Custodial Care Facility | 1125 Paul Maillard Rd, Luling, LA 70070-4351 | 2011-01-18 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | PREMIER REHAB ASSOCIATES PC | 152 West 77th Street, Apt #1, New York, Ny 10024 |
| Connecticut Business Registrations | PREMIER REHAB SOLUTIONS, LLC | 453 West River St., Milford, CT 06460 |
| New York State Corporations | PREMIER REHAB SOLUTIONS, LLC | 255 Warner Ave, Roslyn Heights, Ny 11577 |
| Street Address |
211 E WORTHY ST BLDG 4 |
| City | GONZALES |
| State | LA |
| Zip Code | 70737-4232 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407461593 | Scott G Petrie Md Apmc | Non-Pharmacy Dispensing Site | 1014 West St Clare Boulevard, Ste 1020, Gonzales, LA 70737 | 2020-09-15 |
| 1407461981 | Bryant Louis Bourgeois | Dentist | 13317 N Burnside, Gonzales, LA 70737 | 2020-09-11 |
| 1821612631 | Kene Anje Hamilton | Behavioral Analyst | 1028 East Worthy Street, Gonzales, LA 70737 | 2020-06-08 |
| 1801428636 | Mercedes Francis | Behavior Technician | 1023 E W Worthy Rd, Gonzales, LA 70737 | 2020-02-10 |
| 1407347586 | Functional Dme | Prosthetic/Orthotic Supplier | 219 W. Eastbank St., Ste B, Gonzales, LA 70737 | 2018-05-23 |
| 1235631789 | Transporting On Purpose | Non-emergency Medical Transport (VAN) | 42148 Conifer Drive, Gonzales, LA 70737 | 2018-03-01 |
| 1215453121 | Michelle Fuller Harris | Social Worker | 39094 N Angelle Ct, Gonzales, LA 70737 | 2017-08-22 |
| 1215452529 | Lani Litchfield | Specialist/Technologist | 13341 W. Mill Grove Dr, Gonzales, LA 70737 | 2017-08-08 |
| 1326569369 | Tyler Joshua Turner | Counselor | 1923 South Edwards, Gonzales, LA 70737 | 2017-06-29 |
| 1518408046 | Margaret Madere | Social Worker | 2827 S Ruby Street, Gonzales, LA 70737 | 2017-03-16 |
| Find all providers in zip 70737 | ||||
| Taxonomy Code | 311ZA0620X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Custodial Care Facility |
| Specialization | Adult Care Home |
| A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659894129 | Natalie Green | Custodial Care Facility | 2236 Martin Ave, Baton Rouge, LA 70802-1428 | 2017-07-17 |
| 1730625435 | E & C Helping Hands, LLC | Custodial Care Facility | 7429 Freemark Dr, Marrero, LA 70072-6072 | 2017-01-18 |
| 1558726828 | Halcyon Rehab | Custodial Care Facility | 36020 Wilmington Ave, Denham Springs, LA 70706-1523 | 2015-12-30 |
| 1639548993 | Trusting Hands Home Care LLC | Custodial Care Facility | 3504 Government St, Suite A, Alexandria, LA 71302-3300 | 2015-09-17 |
| 1902280506 | A Moment In Time Patient Care Services. LLC | Custodial Care Facility | 3085 Keithville Kingston Rd, Keithville, LA 71047-8360 | 2015-07-13 |
| 1265814891 | Westbank Lighthouse | Custodial Care Facility | 1712 Holiday Dr, New Orleans, LA 70114-3456 | 2015-06-19 |
| 1417349390 | Caring Hearts Wellness LLC | Custodial Care Facility | 62250 Westend Blvd, 120, Slidell, LA 70461-5622 | 2015-03-02 |
| 1790175578 | Killcrease Home Care | Custodial Care Facility | 11239 Highway 143, Farmerville, LA 71241-5535 | 2015-01-30 |
| 1295151538 | Caregiver Homes of Louisiana, Inc | Custodial Care Facility | 7884 Office Park Boulevard, Baton Rouge, LA 70809 | 2014-03-11 |
| 1679846612 | Wonderful Care Services LLC | Custodial Care Facility | 610 Randall St, Bastrop, LA 71220-4322 | 2012-02-22 |
| 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.