Healthcare Provider Details

I. General information

NPI: 1265422976
Provider Name (Legal Business Name): ST ANNE REHABILITATON HOSPITAL, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/24/2005
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

141 TWIN OAKS DR
RACELAND LA
70394-2761
US

IV. Provider business mailing address

141 TWIN OAKS DR
RACELAND LA
70394-2761
US

V. Phone/Fax

Practice location:
  • Phone: 985-537-7736
  • Fax: 985-537-7390
Mailing address:
  • Phone: 985-537-7736
  • Fax: 985-537-7390

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code284300000X
TaxonomySpecial Hospital
License Number473
License Number StateLA
# 2
Primary TaxonomyY
Taxonomy Code282N00000X
TaxonomyGeneral Acute Care Hospital
License Number473
License Number StateLA

VIII. Authorized Official

Name: MR. DAMIAN KIRK SOILEAU
Title or Position: PRESIDENT & COO
Credential:
Phone: 225-216-2299