Provider Demographics
NPI:1265595078
Name:THE GR GROUP, LLC
Entity type:Organization
Organization Name:THE GR GROUP, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT & CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:S
Authorized Official - Last Name:SOHI
Authorized Official - Suffix:
Authorized Official - Credentials:MBA
Authorized Official - Phone:504-461-5858
Mailing Address - Street 1:PO BOX 641541
Mailing Address - Street 2:
Mailing Address - City:KENNER
Mailing Address - State:LA
Mailing Address - Zip Code:70064-1541
Mailing Address - Country:US
Mailing Address - Phone:504-461-5858
Mailing Address - Fax:888-852-7808
Practice Address - Street 1:3630 COLISEUM ST
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70115-3607
Practice Address - Country:US
Practice Address - Phone:504-461-5858
Practice Address - Fax:888-852-7808
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-19
Last Update Date:2008-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA02097F261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1434141Medicaid
LA02097FOtherSTATE LICENSE - PT
LA196621Medicare ID - Type UnspecifiedMEDICAEPROVIDER NUMBER