# BASTROP REHABILITATION HOSPITAL, LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Parent organization:** BASTROP REHABILITATION HOSPITAL, LLC
- **Other names:** South Ouachita Clinic
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1033618616
- **Legal business name:** BASTROP REHABILITATION HOSPITAL, LLC
- **Authorized official:** WILLIAM MEANS (ADMINISTRATOR)
- **Authorized official phone:** (318) 746-0420

## Contact information

- **Practice address:** 4310 S GRAND ST STE 1, MONROE, LA 71202-6322
- **Practice address phone:** (318) 746-0420
- **Practice address fax:** (318) 752-1940
- **Mailing address:** 816 BENTON RD, BOSSIER CITY, LA 71111-3744
- **Mailing address phone:** (318) 243-5533
- **Mailing address fax:** (318) 752-1940

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR1300X | Rural Health Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 02/08/2018
- **Last updated:** 02/08/2018