MAGNOLIA COMPREHENSIVE OUTPATIENT REHABILIATION FACILITY INC.
NPI 1407853716
Clinic/center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (corf) in Shreveport,


Quality Rating: 100 out of 100 score

NPI Status: Active since June 30, 2005

Contact Information

2005 Creswell Ave
Shreveport,
Post Code: 71104
Phone: (318) 676-0705
Fax: (318) 676-0709

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Magnolia Comprehensive Outpatient Rehabiliation Facility Inc. in Shreveport - Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)

Magnolia Comprehensive Outpatient Rehabiliation Facility Inc. is a Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) in Shreveport, . Magnolia Comprehensive Outpatient Rehabiliation Facility Inc. practices all healthcare services and medical treatments related to Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF). The NPI Number for Magnolia Comprehensive Outpatient Rehabiliation Facility Inc. is 1407853716. The last update date is 2011-08-18.

Magnolia Comprehensive Outpatient Rehabiliation Facility Inc.'s current location address is 2005 Creswell Ave, Shreveport, . You can contact this provider via phone number (318) 676-0705 and fax number (318) 676-0709. The mailing address for Magnolia Comprehensive Outpatient Rehabiliation Facility Inc. is 2005 Creswell Ave, Shreveport, . To know further, please read the information below!

About GREGORY MERRITT

NPI
1407853716
Provider Legal Name
MAGNOLIA COMPREHENSIVE OUTPATIENT REHABILIATION FACILITY INC.
Other Organization Name
MAGNOLIA COMPREHENSIVE OUTPATIENT REHABILIATION FACILITY INC.
Other Name Type
-
Entity Type
Organization
Location Address
2005 Creswell Ave, Shreveport,
Location Phone
(318) 676-0705
Location Fax
(318) 676-0709
Mailing Address
2005 Creswell Ave, Shreveport, Louisiana(LA)
Mailing Phone
318-676-0705
Mailing Fax
318-676-0709
Enumeration Date
2005-06-30
Last Update Date
2011-08-18
Code Navigator

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

Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)

Taxonomy Code
261QR0401X
Type
-
License No.
-
License State
-
Taxonomy Description
-

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
1159310 MEDICAID (05) Louisiana (LA)
========= Other (non-Medicare) (01) Louisiana (LA) Tri-CareSouthwest
=========0 Other (non-Medicare) (01) Louisiana (LA) BluecrossBluesheild of La

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1407853716
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2407165672
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. 2407165672
2 + 4 + 0 + 7 + 1 + 6 + 5 + 6 + 7 + 2 + 24 = 64
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 64 = 6 6

The NPI number 1407853716 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 5 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1053314088 DAVID ALLEN BROWN
Individual
Internal Medicine 2820 NAPOLEON AVE
NEW ORLEANS, Louisiana (LA)
504-897-2661
1043213069 DAVID S BRUCE
Individual
Surgery 1514 JEFFERSON HWY
NEW ORLEANS, Louisiana (LA)
504-842-4000
1225031495 MONROE SURGICAL HOSPITAL, LLC
Organization
General Acute Care Hospital 2408 BROADMOOR BLVD.
MONROE, Louisiana (LA)
318-410-0002
1235132374 LAFAYETTE GENERAL MEDICAL CENTER INC HOME HEALTH
Organization
Home Health 201 AUDUBON BLVD
LAFAYETTE, Louisiana (LA)
337-289-8137
1285637314 BASSAM ABI-RACHED
Individual
Internal Medicine, Hematology & Oncology 605B MEDICAL CENTER DR
ALEXANDRIA, Louisiana (LA)
318-442-2232