VILLA FELICIANA MEDICAL COMPLEX NPI 1639228174

NPI Information

NPI: 1639228174
Provider Name: VILLA FELICIANA MEDICAL COMPLEX
Classification: Long Term Care Hospital - 282E00000X
Entity Type: Organization

CLIA Number: 19D0048816

Address:
5002 HWY 10
JACKSON, LA
ZIP 70748
Phone: (225) 634-4017
Get Directions

VILLA FELICIANA MEDICAL COMPLEX is a long term care hospital in Jackson, 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. VILLA FELICIANA MEDICAL COMPLEX NPI is 1639228174. The provider is registered as an organization entity type.

The provider's business location address is:

5002 HWY 10
JACKSON, LA
ZIP 70748
Phone: (225) 634-4017
Fax: (225) 634-4191

The provider's authorized official is James R. O'rear .
The authorized official title is Long Term Care Hospital Admin. and has the following contact phone number (225) 634-4017.

The CLIA number assigned to this NPI record is 19D0048816 - hospital with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/10/2007 and was last updated on 5/6/2008.

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	282E00000X	Long Term Care Hospital			LOUISIANA	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	5CF42	OTHER	LOUISIANA	MEDICARE PART B
2	5CK77	OTHER	LOUISIANA	X-RAY
3	118326	OTHER	LOUISIANA	LAB
4	1734641	OTHER	LOUISIANA	HOSPITAL
5	190199	MEDICARE OSCAR/CERTIFICATION	LOUISIANA
6	1551465	MEDICAID	LOUISIANA

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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