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SOUTHEAST REHAB LLC
NPI 1700959905
Rehabilitation Hospital in Lake Village, AR

Active since November 16, 2006
905 BORGOGNONI DR, LAKE VILLAGE, AR 71653(318) 665-9950(318) 665-0379 Get Directions Write a Review

NPPES record last updated: November 7, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Southeast Rehab Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SOUTHEAST REHAB LLC (NPI 1700959905), doing business as Southeast Rehabilitation Hospital, is a healthcare organization registered as a rehabilitation hospital in Lake Village, Arkansas and active in the NPI registry since November 2006. The organization lists Catherine Martin Waldrop, Administrator/ceo, as its authorized official.

NPPES Registry Identity

NPI1700959905
Entity TypeOrganization
Primary Taxonomy283X00000X
Legal Business NameSOUTHEAST REHAB LLC
Location Address905 BORGOGNONI DRLake Village, AR 71653-1623
Mailing Address905 Borgognoni DrLake Village, AR 71653-1623 · (318) 665-9950 · Fax (318) 665-0379
Phone(318) 665-9950
Fax(318) 665-0379
Organization SubpartNo
Authorized OfficialCatherine Martin WaldropAdministrator/ceo · (318) 665-9950
Enumeration DateNovember 16, 2006
Last NPPES UpdateNovember 7, 2025
NPPES CertifiedNovember 7, 2025
✔ NPI 1700959905 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRehabilitation HospitalHospitals
Taxonomy Code283X00000X
License✔ Licensed in AR · AR4376
Definition
A hospital or facility that provides health-related, social and/or vocational services to disabled persons to help them attain their maximum functional capacity.
905 BORGOGNONI DR, Lake Village, AR 71653
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Other Names 1

Doing Business AsSoutheast Rehabilitation Hospital

Other Identifiers 1

Medicaid163180526AR

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Arkansas Blue Cross and Blue Shield, Health Advantage, Octave.Insurance ›

Frequently 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 Southeast Rehab LLC's NPI number?

The NPI number for Southeast Rehab LLC is 1700959905. It was assigned to this organization in the NPPES registry on November 16, 2006. The provider is doing business as Southeast Rehabilitation Hospital.

Where is Southeast Rehab LLC located?

Southeast Rehab LLC is located at 905 Borgognoni Dr, Lake Village, AR 71653. The listed phone number is (318) 665-9950.

What is Southeast Rehab LLC's specialty?

The primary specialty registered for this NPI is Rehabilitation Hospital with taxonomy code 283X00000X.

What insurance does Southeast Rehab LLC accept?

Health plans from Arkansas Blue Cross and Blue Shield, Health Advantage and Octave list Southeast Rehab 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 Southeast Rehab LLC was last updated on November 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.