MEDICARE: BATON ROUGE SPECIALTY HOSPITAL

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	273Y00000X	Rehabilitation Hospital Unit

General Provider Information

NPI Number	:	1194613588
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BATON ROUGE SPECIALTY HOSPITAL

Provider Business Mailing Address
First Line	:	5130 MANCUSO LN
Second Line	:
City	:	BATON ROUGE
State	:	LA
Zip	:	70809-3583
Country	:	US
Telephone Number	:	225-490-9600
Fax Number	:

Provider Business Practice Location Address
First Line	:	5130 MANCUSO LN
Second Line	:
City	:	BATON ROUGE
State	:	LA
Zip	:	70809-3583
Country	:	US
Telephone Number	:	225-490-9600
Fax Number	:

Authorized Official
Title or Position	:	DIRECTOR OF OPERATIONS
Name	:	MANPREET SINGH
Credential	:
Telephone Number	:	707-503-8772

Provider Enumeration Date	:	06/25/2025
Last Update Date	:	06/25/2025

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