Provider Demographics
NPI:1639641764
Name:BLIANT SPECIALTY HOSPITAL, LLC
Entity Type:Organization
Organization Name:BLIANT SPECIALTY HOSPITAL, LLC
Other - Org Name:BLIANT SPECIALTY HOSPITAL, LLC
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:JUANITA
Authorized Official - Middle Name:BATES
Authorized Official - Last Name:BONDS
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:470-626-3295
Mailing Address - Street 1:210 BARONNE ST APT 716
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70112-1745
Mailing Address - Country:US
Mailing Address - Phone:470-626-3295
Mailing Address - Fax:225-224-6238
Practice Address - Street 1:4201 WOODLAND DR FL 1
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70131-7339
Practice Address - Country:US
Practice Address - Phone:504-378-5070
Practice Address - Fax:504-378-5072
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-12-31
Last Update Date:2022-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282E00000XHospitalsLong Term Care Hospital