Active Rehab Llc

LBN: Active Rehab Llc
Active Rehab Llc is an health care organization with primary practice located at 318 E Park St , Crowley LA 70526-2468. The organization recently has only one registered license in Ambulatory Health Care Facilities / Adult Day Care, which is considered as the primary health care specialty. Active Rehab Llc can be contacted via phone (337) 788-3600, or through Broussard, E Paul via phone (337) 788-3600.

Contact Information

Primary practice address
318 E Park St Crowley LA 70526-2468
Phone: (337) 788-3600
Fax: (337) 785-1188
Website:
Map and Directions
Authorized official contact:
Name: Broussard, E Paul
Phone: (337) 788-3600

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Adult Day Care 261QA0600X 12515 Louisiana

Profile Details

NPI number 1417946070
LBN Legal business name Active Rehab Llc
DBA Doing business as
Authorized official Broussard, E Paul
Entity Organization
Organization subpart 1 No
Enumeration date Oct 17th, 2005
Last updated Aug 22nd, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1417946070 NPPES
Louisiana MEDICAID 1110434

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