Northlake Rehab Professionals
LBN: Northlake Rehab Professionals
Northlake Rehab Professionals is an health care organization with primary practice located at 2101 Robin Ave , Hammond LA 70403-5772. The organization recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Physician Assistants & Advanced Practice Nursing Providers / Gerontology. Other Service Providers / Specialist is the primary health care specialty.
Northlake Rehab Professionals can be contacted via phone (985) 345-0033, or through Roig, Randolph L via phone (985) 345-0033.
Contact Information
Primary practice address
2101 Robin Ave
Hammond LA 70403-5772
Phone: (985) 345-0033
Fax: (985) 345-1199
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 09912R | Louisiana |
| Physician Assistants & Advanced Practice Nursing Providers / Gerontology | 363LG0600X | AP04607 | Alabama |
Profile Details
| NPI number | 1699744664 |
|---|---|
| LBN Legal business name | Northlake Rehab Professionals |
| DBA Doing business as | |
| Authorized official | Roig, Randolph L Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Mar 14th, 2006 |
| Last updated | Apr 1st, 2008 - about 16 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1699744664 | NPPES |
| Louisiana | MEDICAID | 1680818 | |
| Louisiana | MEDICAID | 1625345 |
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