Provider Demographics
NPI:1396809133
Name:ACADIA REHABILITATION HOSPITAL, LLC
Entity type:Organization
Organization Name:ACADIA REHABILITATION HOSPITAL, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:APRIL
Authorized Official - Middle Name:S
Authorized Official - Last Name:BEARB
Authorized Official - Suffix:
Authorized Official - Credentials:RHIA
Authorized Official - Phone:337-821-5353
Mailing Address - Street 1:PO BOX 1067
Mailing Address - Street 2:
Mailing Address - City:JENNINGS
Mailing Address - State:LA
Mailing Address - Zip Code:70546-1067
Mailing Address - Country:US
Mailing Address - Phone:337-821-5353
Mailing Address - Fax:337-821-5334
Practice Address - Street 1:1420 NORTHWEST BLVD
Practice Address - Street 2:
Practice Address - City:FRANKLIN
Practice Address - State:LA
Practice Address - Zip Code:70538-3414
Practice Address - Country:US
Practice Address - Phone:337-413-9131
Practice Address - Fax:337-413-9130
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-19
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA44288001Medicaid