Healthcare Provider Details

I. General information

NPI: 1679407571
Provider Name (Legal Business Name): SERENITY OAKS INPATIENT REHABILITATION HOSPITAL LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/09/2026
Last Update Date: 06/09/2026
Certification Date: 06/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15261 W CLUB DELUXE RD
HAMMOND LA
70403-1220
US

IV. Provider business mailing address

PO BOX 489
MADISONVILLE LA
70447-0489
US

V. Phone/Fax

Practice location:
  • Phone: 985-277-1280
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code283X00000X
TaxonomyRehabilitation Hospital
License Number
License Number State

VIII. Authorized Official

Name: TIM BURKE
Title or Position: CHIEF EXECUTIVE OFFICER
Credential:
Phone: 504-427-8525