WEST BANK REHAB OPTION LLC NPI 1407037930

NPI Information

NPI: 1407037930
Provider Name: WEST BANK REHAB OPTION LLC
Classification: Clinic/Center - 261QM0801X
Specialization: Mental Health (Including Community Mental Health Center)
Entity Type: Organization
Doing Business As: WEST BANK REHAB OPTION
CLIA Number: 19D2295969
Address: 4905 WICHERS DR
MARRERO, LA
ZIP 70072
Phone: (504) 340-3248

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NPI Details

WEST BANK REHAB OPTION LLC is a mental health (including community mental health center) clinic center in Marrero, LA. WEST BANK REHAB OPTION LLC NPI is 1407037930. The provider is registered as an organization entity type.
The provider Is Doing Business As West Bank Rehab Option.

The provider's business location address is:

4905 WICHERS DR
MARRERO, LA
ZIP 70072-028
Phone: (504) 340-3248
Fax: (504) 348-1154

The provider's authorized official is Robert Ancira .
The authorized official title is Owner and has the following contact phone number (504) 891-8503.

The CLIA number assigned to this NPI record is 19D2295969 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/27/2007 and was last updated on 11/27/2007.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)			Yes

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: 3/30/2025

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