National Provider Identifier Database

INTENSIVE SPECIALTY HOSPITAL LLC
Adult Mental Health

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.


Contact Information

INTENSIVE SPECIALTY HOSPITAL, LLC
1513 LINE AVENUE
SHREVEPORT, LA71101-4621
Phone: 318-425-4096
Fax: 318-424-2627
Website:
Specialty Taxonomy Code
* Adult Mental Health 261QM0850X
Community/Behavioral Health 251S00000X
Rehabilitation, Substance Use Disorder 261QR0405X

* Indicates primary specialty

NPI Profile & details for INTENSIVE SPECIALTY HOSPITAL, LLC

NPI Number 1598344848
Legal business name
LBN
INTENSIVE SPECIALTY HOSPITAL, LLC
Authorized official CHAIM ROTTENBERG - (ASSET MANAGER)
Entity Organization
Organization subpart No
Enumeration date 04/05/2021
Last updated 06/03/2021 - About 5 years ago
Sole proprietor1 Not specified
Identifiers n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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