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Contact Information

PRESTIGE REHAB
64030 HIGHWAY 434 FL 2
LACOMBE, LA70445-3456
 Phone: 504-210-3000
 Fax: 504-210-3006
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Long Term Care Hospital

282E00000X A0[7] Hospital-Long-Term (PPS excluded)
 

Special Hospital

284300000X A0[7] Hospital-Specialty Hospital (cardiac, orthopedic, surgical)
Indicates primary specialty

NPI Profile & details for PRESTIGE REHAB

NPI Number 1003836552
LBN Legal business name PRESTIGE REHAB
Authorized official KIMBERLY BOHNE - (ASSISTANT ADMINISTRATOR)
Entity Organization
Organization subpart 1 No
Enumeration date 07/20/2006
Last updated 04/26/2019 - About 7 years ago
Identifiers
LA License # 412
LA Medicaid 1766259
LA Other 19D0937727 CLIA
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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