Crowley Rehab Hospital, Llc

LBN: Kailo Ltac Hospital, Llc
Crowley Rehab Hospital, Llc is an health care organization with primary practice located at 713 N Avenue L , Crowley LA 70526-3832. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), Hospitals / Special Hospital. Hospitals / Special Hospital is the primary health care specialty. Kailo Ltac Hospital, Llc can be contacted via phone (337) 783-2859, or through Broussard, E. Paul via phone (337) 788-3600.

Contact Information

Primary practice address
713 N Avenue L Crowley LA 70526-3832
Phone: (337) 783-2859
Fax: (337) 783-2891
Website:
Map and Directions
Authorized official contact:
Name: Broussard, E. Paul
Phone: (337) 788-3600

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X 532 Louisiana
Hospitals / Special Hospital 284300000X 532 Louisiana

Profile Details

NPI number 1457313827
LBN Legal business name Kailo Ltac Hospital, Llc
DBA Doing business as Crowley Rehab Hospital, Llc
Authorized official Broussard, E. Paul
Entity Organization
Organization subpart 1 No
Enumeration date Apr 3rd, 2006
Last updated Jan 22nd, 2013 - about 12 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 1457313827 NPPES
Louisiana MEDICAID 1703109

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