NORTHLAKE REHAB PROFESSIONALS NPI 1699744664

NPI Information

  • NPI: 1699744664
  • Provider Name: NORTHLAKE REHAB PROFESSIONALS
  • Classification: Specialist - 174400000X
  • Entity Type: Organization
  • Address: 2101 ROBIN AVE
    HAMMOND, LA
    ZIP 70403
  • Phone: (985) 345-0033

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NPI Details

NORTHLAKE REHAB PROFESSIONALS is a specialist in Hammond, LA. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. NORTHLAKE REHAB PROFESSIONALS NPI is 1699744664. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

2101 ROBIN AVE
HAMMOND, LA
ZIP 70403-772
Phone: (985) 345-0033
Fax: (985) 345-1199

The provider's authorized official is Randolph L Roig .
The authorized official title is Owner and has the following contact phone number (985) 345-0033.

The enumeration date for this NPI number is 3/14/2006 and was last updated on 4/1/2008.

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
1363LG0600XNurse PractitionerGerontologyAP04607ALABAMANo
2174400000XSpecialist09912RLOUISIANAYes

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
15C359MEDICARE PINLOUISIANA
2G26997MEDICARE UPINLOUISIANA
31625345MEDICAIDLOUISIANA
41680818MEDICAIDLOUISIANA
5Q40873MEDICARE UPINLOUISIANA

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: 11/21/2025

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