Basic Information
| Provider Information | |||||||||
| NPI: | 1871602003 | ||||||||
| EntityType: | 2 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | LIFECARE HOSPITALS OF NEW ORLEANS, L.L.C | ||||||||
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| Mailing Information | |||||||||
| Address1: | 5560 TENNYSON PKWY | ||||||||
| Address2: | |||||||||
| City: | PLANO | ||||||||
| State: | TX | ||||||||
| PostalCode: | 750243532 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4692412100 | ||||||||
| FaxNumber: | 4692415198 | ||||||||
| Practice Location | |||||||||
| Address1: | 2700 NAPOLEON AVE | ||||||||
| Address2: | 7TH FLOOR | ||||||||
| City: | NEW ORLEANS | ||||||||
| State: | LA | ||||||||
| PostalCode: | 701156914 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5048942273 | ||||||||
| FaxNumber: | 5048965820 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 08/30/2006 | ||||||||
| LastUpdateDate: | 08/22/2020 | ||||||||
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| AuthorizedOfficialLastName: | HANSON | ||||||||
| AuthorizedOfficialFirstName: | ALICIA | ||||||||
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| AuthorizedOfficialTitleorPosition: | VICE PRESIDENT OF REVENUE CYCLE | ||||||||
| AuthorizedOfficialTelephone: | 4692412100 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | MRS. | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 282E00000X | 397 | LA | Y | Hospitals | Long Term Care Hospital |
ID Information
| ID | Type | State | Issuer | Description | 1763616 | 05 | LA | MEDICAID |