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SAGE REHABILITATION HOSPITAL COVINGTON LLC NPI 1184138695


NPI Information

NPI: 1184138695
Provider Name: SAGE REHABILITATION HOSPITAL COVINGTON, LLC
Classification: Clinic/Center - 261QR0400X
Entity Type: Organization

Specialization: Rehabilitation

Address:
5025 KEYSTONE BLVD STE 200
COVINGTON, LA
ZIP 70433
Phone: (985) 888-0301
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SAGE REHABILITATION HOSPITAL COVINGTON, LLC is a rehabilitation clinic center in Covington, LA. SAGE REHABILITATION HOSPITAL COVINGTON, LLC NPI is 1184138695. The provider is registered as an organization entity type.

The provider's business location address is:

5025 KEYSTONE BLVD STE 200
COVINGTON, LA
ZIP 70433-517
Phone: (985) 888-0301

The provider's authorized official is Patrick Mitchell .
The authorized official title is Member and has the following contact phone number (225) 368-3181.

The enumeration date for this NPI number is 11/20/2017 and was last updated on 11/20/2017.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QR0400XClinic/CenterRehabilitationYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1193097OTHERMEDICARE - PENDING

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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