Provider Demographics
NPI:1568981488
Name:REMED RECOVERY CARE CENTERS OF LOUISIANA LLC
Entity Type:Organization
Organization Name:REMED RECOVERY CARE CENTERS OF LOUISIANA LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT , CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:CHARLES
Authorized Official - Middle Name:A
Authorized Official - Last Name:MCCARTNEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:484-595-9300
Mailing Address - Street 1:16 INDUSTRIAL BLVD STE 203
Mailing Address - Street 2:
Mailing Address - City:PAOLI
Mailing Address - State:PA
Mailing Address - Zip Code:19301-1609
Mailing Address - Country:US
Mailing Address - Phone:484-595-9300
Mailing Address - Fax:484-595-0377
Practice Address - Street 1:614 W 18TH AVE
Practice Address - Street 2:
Practice Address - City:COVINGTON
Practice Address - State:LA
Practice Address - Zip Code:70433-3063
Practice Address - Country:US
Practice Address - Phone:484-595-9300
Practice Address - Fax:484-595-0377
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:REMED HOLDINGS, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2017-09-12
Last Update Date:2019-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes283X00000XHospitalsRehabilitation Hospital
No273Y00000XHospital UnitsRehabilitation Unit