Provider Demographics
NPI:1558639328
Name:LOUISIANA HEALTH & REHABILITATION COPTIONS
Entity Type:Organization
Organization Name:LOUISIANA HEALTH & REHABILITATION COPTIONS
Other - Org Name:LOUISIANA HEALTH & REHABILITATION OPTIONS, INC.
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:MRS
Authorized Official - First Name:SOUNDRA
Authorized Official - Middle Name:J
Authorized Official - Last Name:TEMPLE-JOHNSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:225-938-0661
Mailing Address - Street 1:2121 WOODDALE BLVD
Mailing Address - Street 2:
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70806-1442
Mailing Address - Country:US
Mailing Address - Phone:225-231-2490
Mailing Address - Fax:225-231-2775
Practice Address - Street 1:214 OCEAN DR
Practice Address - Street 2:SUITE A
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70806-4618
Practice Address - Country:US
Practice Address - Phone:225-231-2490
Practice Address - Fax:225-231-2775
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-12-08
Last Update Date:2011-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAPCA 15147253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1954748Medicaid
LA1453781Medicaid
LA2130021Medicaid
LA1177482Medicaid
LA1453773Medicaid
LA1653187Medicaid
LA2130005Medicaid
LA2129970Medicaid
LA1171727Medicaid