=====================================================
General NPI Number Information
=====================================================
NPI Number | 1730986225
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | AURORE RESTORATIVE HEALTH LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 03/03/2025
-----------------------------------------------------
Last Update Date | 03/03/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 20196 CRYSTAL LAKE DRIVE
-----------------------------------------------------
City | HAMMOND
-----------------------------------------------------
State | LA
-----------------------------------------------------
Zip | 70403-0565
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 985-974-1852
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 20196 CRYSTAL LAKE DR
-----------------------------------------------------
City | HAMMOND
-----------------------------------------------------
State | LA
-----------------------------------------------------
Zip | 70403-0565
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 225-892-5420
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PHYSICIAN-OWNER
-----------------------------------------------------
Name | DR. RAINIER CECILIA BATISTE
-----------------------------------------------------
Credential | DO
-----------------------------------------------------
Telephone | 985-974-1852
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 207R00000X
-----------------------------------------------------
Taxonomy Name | Internal Medicine Physician
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------