PROFESSIONAL REHABILITATION HOSPITAL LLC
NPI 1518929926
Long Term Care Hospital in Vidalia, LA

NPI Status: Active since April 03, 2006

Contact Information

209 FRONT ST
VIDALIA, LA
ZIP 71373
Phone: (318) 336-6500

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  • Organization
  • Long Term Care Hospital
  • Accepts Insurance
  • CLIA Number: 19D0913355
  • CLIA Cert. Type: Other - LONG TERM ACUTE CARE HOSP
  • CLIA Exp. Date: 04-14-2027

About PROFESSIONAL REHABILITATION HOSPITAL LLC

This page provides the complete NPI Profile along with additional information for Professional Rehabilitation Hospital Llc, a provider established in Vidalia, Louisiana operating as a Long Term Care Hospital. The healthcare provider is registered in the NPI registry with number 1518929926 assigned on April 2006. The practitioner's primary taxonomy code is 282E00000X with license number 654 (LA). The provider is registered as an organization and their NPI record was last updated one year ago. The provider's . The authorized official of this NPI record is Sonja Sharp Watkins (Chief Financial Officer)

NPI
1518929926
Provider Legal Name
PROFESSIONAL REHABILITATION HOSPITAL LLC
Other Organization Name
Other Name Type
(6)
Entity Type
Organization
Location Address
209 FRONT ST VIDALIA, LA 71373
Location Phone
(318) 336-6500
Mailing Address
PO BOX 1499 BRANDON, MS 39043
Mailing Phone
(601) 824-9010
Mailing Fax
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
04-03-2006
Last Update Date
03-25-2025
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According to the Inpatient Rehabilitation Facility (IRF) Compare program data this facility is for profit and was certified on 01-04-2024 This facility might have treated people with Medicare who had these medical conditions during the last year: all other conditions, brain disease or condition (non-traumatic), brain injury (traumatic), hip or femur fracture, hip or knee replacement, amputation or other bone or joint condition, nervous system disorder (excluding stroke), spinal cord disease or condition (non-traumatic), spinal cord injury (traumatic) and stroke

According to the Long-Term Care Hospital Compare program data, Professional Rehabilitation Hospital Llc is a for profit Medicare certified facility with approximately 40 beds. The initial Medicare certification or recertification date of this facility was on 01-01-2001

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Long Term Care Hospital

Taxonomy Code
282E00000X
Type
Hospitals
License No.
654
License State
LA
Taxonomy Description
Long-term care hospitals (LTCHs) furnish extended medical and rehabilitative care to individuals who are clinically complex and have multiple acute or chronic conditions.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1273Y00000XHospital Units

Rehabilitation Unit

 
2275N00000XHospital Units

Medicare Defined Swing Bed Unit

 
3282E00000XHospitals

Long Term Care Hospital

518 (LA)

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Choice Bronze HSA (QualChoice) - POS
  • Complete Gold - PPO
  • Complete Gold + Vision + Adult Dental - PPO
  • Connected Silver - PPO
  • Connected Silver (QualChoice) - POS
  • Connected Silver (QualChoice) + Vision + Adult Dental - POS
  • Connected Silver (QualChoiceLife) - PPO
  • Connected Silver (QualChoiceLife) + Vision + Adult Dental - PPO
  • Connected Silver + Vision + Adult Dental - PPO
  • Elite Bronze - PPO
  • Elite Bronze + Vision + Adult Dental - PPO
  • Elite Gold (QualChoice) - POS
  • Elite Gold (QualChoice) + Vision + Adult Dental - POS
  • Elite Gold (QualChoiceLife) - PPO
  • Elite Gold (QualChoiceLife) + Vision + Adult Dental - PPO
  • Everyday Bronze - PPO
  • Everyday Bronze + Vision + Adult Dental - PPO
  • Standard Expanded Bronze - PPO
  • Standard Expanded Bronze (QualChoice) - POS
  • Standard Expanded Bronze + Vision + Adult Dental - PPO
  • Complete Gold - EPO
  • Complete Gold + Vision + Adult Dental - EPO
  • Elite Bronze - EPO
  • Elite Bronze + Vision + Adult Dental - EPO
  • Elite Gold - EPO
  • Elite Gold + Vision + Adult Dental - EPO
  • Everyday Bronze - EPO
  • Everyday Bronze + Vision + Adult Dental - EPO
  • Focused Silver - EPO
  • Focused Silver + Vision + Adult Dental - EPO
  • Standard Expanded Bronze - EPO
  • Standard Expanded Bronze + Vision + Adult Dental - EPO
  • Standard Gold - EPO
  • Standard Gold + Vision + Adult Dental - EPO
  • Standard Silver - EPO
  • Standard Silver + Vision + Adult Dental - EPO
  • Choice Bronze HSA - HMO
  • Choice Bronze HSA + Vision + Adult Dental - HMO
  • Complete Gold - HMO
  • Complete Gold + Vision + Adult Dental - HMO
  • Everyday Bronze - HMO
  • Everyday Bronze + Vision + Adult Dental - HMO
  • Everyday Gold - HMO
  • Everyday Gold + Vision + Adult Dental - HMO
  • Standard Expanded Bronze - HMO
  • Standard Expanded Bronze + Vision + Adult Dental - HMO
  • Standard Gold - HMO
  • Standard Gold + Vision + Adult Dental - HMO
  • Standard Silver - HMO
  • Standard Silver + Vision + Adult Dental - HMO
  • Complete Gold - EPO
  • Complete Gold + Vision + Adult Dental - EPO
  • Enhanced Diabetes Care Silver with $0 Drug Options - EPO
  • Enhanced Diabetes Care Silver with $0 Drug Options + Vision + Adult Dental - EPO
  • Everyday Gold - EPO
  • Everyday Gold + Vision + Adult Dental - EPO
  • Focused Silver - EPO
  • Focused Silver + Vision + Adult Dental - EPO
  • Standard Gold - EPO
  • Standard Gold + Vision + Adult Dental - EPO
  • Standard Silver - EPO
  • Standard Silver + Vision + Adult Dental - EPO
  • Blue Max 70/50 $6700 with 2 $0 PCP Virtual Visits HSA Eligible - PPO
  • Blue Max 80/60 $1500 with 2 $0 PCP Virtual Visits - PPO
  • Blue Max Copay (PCP) 50/50 $3300 with 2 $0 PCP Virtual Visits - PPO
  • Blue Max Copay (PCP) 50/50 $7500 Standardized HSA Eligible - PPO
  • Blue Max Copay (PCP) 60/40 $6000 Standardized - PPO
  • Blue Max Copay (PCP) 75/55 $2000 Standardized - PPO
  • Blue Saver 60/40 $6100 - PPO
  • Blue Saver 90/70 $3400 - PPO
  • Blue POS 60/40 $6500 with 2 $0 PCP Virtual Visits HSA Eligible - POS
  • Blue POS 80/60 $3200 with 2 $0 PCP Virtual Visits - POS
  • Blue POS 90/70 $9900 with 2 $0 PCP Virtual Visits HSA Eligible - POS
  • Blue POS Copay (PCP) 50/50 $7500 Standardized HSA Eligible - POS
  • Blue POS Copay (PCP) 60/40 $6000 Standardized - POS
  • Blue POS Copay (PCP) 75/55 $2000 Standardized - POS
  • Blue POS Copay (PCP) 80/60 $1000 with 2 $0 PCP Virtual Visits - POS
  • Molina Gold Standard - HMO
  • Molina Silver Standard - HMO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

SONJA SHARP WATKINS

Authorized Official Title
CHIEF FINANCIAL OFFICER
Authorized Official Phone
(601) 824-9010

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
1764914MEDICAID (05)LA 
60973OTHER (01)LABLUE CROSS PROVIDER #

Long-Term Care Hospital Compare Information

The Long-Term Care Hospital Compare program allows patients and caregivers make informed decisions about healthcare based on quality of care, cost, volume of services, and other data at certified Medicare facilities.

Certification Number CMS Certification Number
The CMS certification number (CCN) is used to identify the hospital listed.
192028
Ownership Type Ownership Type
Indicates the hospital's ownership type: For Profit, Non-profit, Government
For profit
Certification Date Certification Date
The initial Medicare certification or recertification date of the hospital.
01-01-2001
Number of Beds Total Number of Beds
The total number of beds in the hospital.
40
Catheter-associated urinary tract infections (CAUTI)Better than the National Benchmark
Central line-associated bloodstream infections (CLABSI)No Different than the National Benchmark
Percentage of LTCH patients who experience one or more falls with major injury during their LTCH stay0.0
Clostridium difficile Infection (CDI)No Different than the National Benchmark
Influenza Vaccination Coverage Among Healthcare Personnel69.3
Rate of potentially preventable hospital readmissions 30 days after discharge from an LTCHNo Different than the National Rate
Rate of successful return to home and community from an LTCHNo Different than the National Rate
Medicare Spending Per Beneficiary (MSPB) in LTCHs $465
Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified100.0
Percentage of patients with pressure ulcers/injuries that are new or worsened0.5

Inpatient Rehabilitation Information

The Centers for Medicare and Medicaid Services Inpatient Rehabilitation Facility (IRF) data provides information on the quality of care that rehabilitation facilities are providing to their patients. This information can help consumers make informed decisions about health care.

  • PROFESSIONAL REHABILITATION HOSPITAL LLC has an ownership type of For profit
  • The facility received it's medicare certification date on 01-04-2024
Rehabilitation facility number of episodes of treated medical conditions.
Medical Condition Times Conditions Treated
All other conditionsNot Available - Data not available for this reporting period.
Brain disease or condition (non-traumatic)Not Available - Data not available for this reporting period.
Brain injury (traumatic)Not Available - Data not available for this reporting period.
Hip or femur fractureNot Available - Data not available for this reporting period.
Hip or knee replacement, amputation or other bone or joint conditionNot Available - Data not available for this reporting period.
Nervous system disorder (excluding stroke)Not Available - Data not available for this reporting period.
Spinal cord disease or condition (non-traumatic)Not Available - Data not available for this reporting period.
Spinal cord injury (traumatic)Not Available - Data not available for this reporting period.
StrokeNot Available - Data not available for this reporting period.

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
19D0913355
Facility Type
Other - LONG TERM ACUTE CARE HOSP
Certificate Effective Date
April 15, 2025
Certificate Expiration Date
April 14, 2027
Laboratory Director
CLIFFORD TILLMAN
Certificate Type
Certificate of Accreditation
Certificate Type Description
This is a CLIA certificate is issued to Professional Rehabilitation Hospital Llc on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha perform nonwaived (moderate and/or high complexity) testing.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1518929926, we treat the final digit (6) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 74. The final step is to find the difference between that total and the next multiple of ten (80 - 74 = 6).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
5
Unchanged
Pos 3
1
Doubled → 2
Pos 4
8
Unchanged
Pos 5
9
Doubled → 18 → 1 + 8
Pos 6
2
Unchanged
Pos 7
9
Doubled → 18 → 1 + 8
Pos 8
9
Unchanged
Pos 9
2
Doubled → 4
Check
6
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 1 → 2 9 → 18 → 9 9 → 18 → 9 2 → 4

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 5 + 2 + 8 + 1 + 8 + 2 + 1 + 8 + 9 + 4 + 24 = 74

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 74 is 80. The difference is the calculated check digit.

80 - 74 = 6
This NPI is valid
The calculated check digit is 6, which matches the last digit of 1518929926.

Other Providers at the Same Location


The following 2 providers are registered at the same or a nearby location.

Physician Assistant
209 FRONT ST
VIDALIA, LA 71373
Physician Assistant
209 FRONT ST
VIDALIA, LA 71373

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1518929926, enumerated as an "organization" on April 03, 2006.

The provider is located at 209 FRONT ST VIDALIA, LA 71373 and the phone number is (318) 336-6500.

Long Term Care Hospital with taxonomy code 282E00000X.

The provider might be accepting Accepts: Ambetter from Arkansas Health & Wellness, Ambetter. Please consult your insurance carrier or call the provider to verify.