SHREVEPORT REHABILITATION HOSPITAL, LLC
NPI 1154956241
Rehabilitation Hospital in Shreveport, LA
About Shreveport Rehabilitation Hospital, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SHREVEPORT REHABILITATION HOSPITAL, LLC (NPI 1154956241) is a healthcare organization registered as a rehabilitation hospital in Shreveport, Louisiana and active in the NPI registry since March 2020. The organization holds a CLIA Waiver certificate valid through September 27, 2027 and lists Tracey Nixon, Chief Compliance Officer, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 19D2237811
Shreveport Rehabilitation Hospital, LLC · Shreveport, LAFrequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Shreveport Rehabilitation Hospital, LLC's NPI number?
The NPI number for Shreveport Rehabilitation Hospital, LLC is 1154956241. It was assigned to this organization in the NPPES registry on March 9, 2020.
Where is Shreveport Rehabilitation Hospital, LLC located?
Shreveport Rehabilitation Hospital, LLC is located at 1451 Fern Circle, Shreveport, LA 71105. The listed phone number is (469) 640-6503.
What is Shreveport Rehabilitation Hospital, LLC's specialty?
The primary specialty registered for this NPI is Rehabilitation Hospital with taxonomy code 283X00000X.
Does Shreveport Rehabilitation Hospital, LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 19D2237811) is associated with this NPI, valid through September 27, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Shreveport Rehabilitation Hospital, LLC accept?
Health plans from Blue Cross and Blue Shield of Louisiana, HMO Louisiana and UnitedHealthcare list Shreveport Rehabilitation Hospital, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Shreveport Rehabilitation Hospital, LLC was last updated on November 25, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Shreveport Rehabilitation Hospital, Llc · NPI 1154956241
Rehabilitation Hospital organization in Shreveport, Louisiana. Organization record, active in the CMS NPPES registry since March 9, 2020.
## Identity
- **NPI:** 1154956241 (Entity type: Organization)
- **Enumerated:** March 9, 2020
- **Primary specialty:** Rehabilitation Hospital · taxonomy 283X00000X
- **Organization subpart:** No
- **Authorized official:** Tracey Nixon, CHIEF COMPLIANCE OFFICER
## Practice location
- **Address:** 1451 FERN CIRCLE, Shreveport, LA 71105-7501
- **Phone:** (469) 640-6503
## Record status
- **NPPES last updated:** November 25, 2024
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1154956241) · Data from the CMS NPPES public registry.