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PAM II OF COVINGTON LLC NPI 1457604969


NPI Information

NPI: 1457604969
Provider Name: PAM II OF COVINGTON, LLC

Doing Business As: NORTHSHORE SPECIALTY HOSPITAL

Classification: Long Term Care Hospital - 282E00000X
Entity Type: Organization
Address:
20050 CRESTWOOD BLVD
WOUND CARE CENTER
COVINGTON, LA
ZIP 70433
Phone: (985) 875-7525
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PAM II OF COVINGTON, LLC is a long term care hospital in Covington, LA. The provider is long-term care hospitals (LTCHs) furnish extended medical and rehabilitative care to individuals who are clinically complex and have multiple acute or chronic conditions. PAM II OF COVINGTON, LLC NPI is 1457604969. The provider is registered as an organization entity type.
The provider Is Doing Business As Northshore Specialty Hospital.

The provider's business location address is:

20050 CRESTWOOD BLVD
WOUND CARE CENTER
COVINGTON, LA
ZIP 70433-207
Phone: (985) 875-7525
Fax: (985) 875-1934

The provider's authorized official is James R Asberry .
The authorized official title is Cfo and has the following contact phone number (210) 213-9571.

The enumeration date for this NPI number is 10/22/2012 and was last updated on 10/22/2012.


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
1282E00000XLong Term Care Hospital680LOUISIANAYes

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
11703176MEDICAIDLOUISIANA
2192048MEDICARE OSCAR/CERTIFICATIONLOUISIANA

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.