RIVERSIDE REHABILITATION AGENCY, INC.; NPI #1720027105

Contact Information

RIVERSIDE REHABILITATION AGENCY, INC.

8680 BLUEBONNET BLVD
SUITE D
BATON ROUGE, LA 70810-7825

Phone: 225-936-2021
Fax:
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)	261QR0401X	B4[14]	Comprehensive Outpatient Rehabilitation Facility

Indicates primary specialty

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NPI Profile & details for RIVERSIDE REHABILITATION AGENCY, INC.

NPI Number 1720027105

LBN Legal business name RIVERSIDE REHABILITATION AGENCY, INC.

Authorized official MARTHA BANKS - (OWNER)

Entity Organization

Organization subpart ¹ No

Enumeration date 06/04/2006

Last updated 10/19/2011 - About 15 years ago

Identifiers

Medicaid

1566250

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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