Southeast Rehab LLC.
NPI 1295276970 · Gerontology Nurse Practitioner · Lake Village, AR
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Southeast Rehab LLC. is a Gerontology Nurse Practitioner organization in Lake Village, AR (NPI 1295276970).
Provider details
- NPI number
- 1295276970
- Entity type
- Organization
- Primary specialty
- Gerontology Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Cathy Waldrop, Administrator(318) 665-9950
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Southeast Part B Practice
- Doing business as
- Southeast Part B Practice
Registry dates
- Enumerated
- 2017-03-15
- Last updated
- 2019-06-28
Frequently asked questions
- What is Southeast Rehab LLC.'s NPI number?
- Southeast Rehab LLC.'s National Provider Identifier (NPI) is 1295276970, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Southeast Rehab LLC.?
- Southeast Rehab LLC. is classified in the NPPES registry as Gerontology Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Southeast Rehab LLC. located?
- Southeast Rehab LLC.'s practice location on file with NPPES is 903 Borgognoni Dr, Lake Village, AR 71653-1623.
- What is Southeast Rehab LLC.'s phone number?
- The practice phone number listed in the NPPES registry for Southeast Rehab LLC. is (318) 665-9950.
- Does Southeast Rehab LLC. accept Medicare?
- Southeast Rehab LLC. is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Southeast Rehab LLC.?
- The authorized official listed on Southeast Rehab LLC.'s NPPES record is Cathy Waldrop, Administrator. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Southeast Rehab LLC.'s NPI active?
- Yes — Southeast Rehab LLC.'s NPI (1295276970) is active in the NPPES registry as of the last update on 2019-06-28.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.