Russo Rehabilitation, Llc

LBN: Russo Rehabilitation, Llc
Russo Rehabilitation, Llc is an health care organization with primary practice located at 505 Louvois St , Mandeville LA 70448-5468. The organization recently has 5 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Environmental Modification, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Feeding, Eating & Swallowing, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Mental Health, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Neurorehabilitation, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Neurorehabilitation is the primary health care specialty. Russo Rehabilitation, Llc can be contacted via phone (678) 462-2923, or through Stone, Kelly Russo via phone (678) 462-2923.

Contact Information

Primary practice address
505 Louvois St Mandeville LA 70448-5468
Phone: (678) 462-2923
Fax: (866) 753-4652
Website:
Map and Directions
Authorized official contact:
Name: Stone, Kelly Russo OTR/L
Phone: (678) 462-2923

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Environmental Modification 225XE0001X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Feeding, Eating & Swallowing 225XF0002X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Mental Health 225XM0800X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Neurorehabilitation 225XN1300X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics 225XP0200X

Profile Details

NPI number 1902180573
LBN Legal business name Russo Rehabilitation, Llc
DBA Doing business as
Authorized official Stone, Kelly Russo OTR/L
Entity Organization
Organization subpart 1 No
Enumeration date Sep 30th, 2011
Last updated Jun 20th, 2023 - about 3 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1902180573 NPPES
Louisiana MEDICAID 2450514

Popular Providers