Provider Demographics
NPI:1013166388
Name:HIGH HOPE REHABILITATION AND NURSING CENTER LLC
Entity Type:Organization
Organization Name:HIGH HOPE REHABILITATION AND NURSING CENTER LLC
Other - Org Name:HIGH HOPE REHABILITATION AND NURSING CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:KENDALL
Authorized Official - Middle Name:A
Authorized Official - Last Name:BROUSSARD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:337-439-6600
Mailing Address - Street 1:475 HIGH HOPE RD
Mailing Address - Street 2:
Mailing Address - City:SULPHUR
Mailing Address - State:LA
Mailing Address - Zip Code:70663-0037
Mailing Address - Country:US
Mailing Address - Phone:337-527-8140
Mailing Address - Fax:337-527-0098
Practice Address - Street 1:475 HIGH HOPE RD
Practice Address - Street 2:
Practice Address - City:SULPHUR
Practice Address - State:LA
Practice Address - Zip Code:70663-0037
Practice Address - Country:US
Practice Address - Phone:337-527-8140
Practice Address - Fax:337-527-0098
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-09-11
Last Update Date:2008-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA687314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility