=====================================================
General NPI Number Information
=====================================================
NPI Number | 1154381853
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | RIVER OAKS INC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 03/25/2006
-----------------------------------------------------
Last Update Date | 08/30/2010
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1525 RIVER OAKS RD W
-----------------------------------------------------
City | NEW ORLEANS
-----------------------------------------------------
State | LA
-----------------------------------------------------
Zip | 70123-2199
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 504-734-1740
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 1525 RIVER OAKS RD W
-----------------------------------------------------
City | NEW ORLEANS
-----------------------------------------------------
State | LA
-----------------------------------------------------
Zip | 70123-2199
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 504-734-1740
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | CFO/ SR VP
-----------------------------------------------------
Name | STEVE FILTON
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 610-768-3300
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 283Q00000X
-----------------------------------------------------
Taxonomy Name | Psychiatric Hospital
-----------------------------------------------------
License Number | 338
-----------------------------------------------------
License Number State | LA
-----------------------------------------------------