OrganizationActive
Health Services Group of Louisiana, LLC
NPI 1962441667 · Long Term Care Hospital · Bogalusa, LA
Provider details
- NPI number
- 1962441667
- Entity type
- Organization
- Primary specialty
- Long Term Care HospitalHospitals
- Organization subpart
- No
- Authorized official
- Eugene Smith, President and Coo(225) 216-2299
- License
- 584B (LA)
Specialties & taxonomies
Hospitals
Hospitals
Practice location
621 S Columbia St
Bogalusa, LA 70427-4721
Phone: (985) 732-4402
Fax: (985) 732-4708
Approximate (ZIP-level) locationGet directions
Mailing address
621 S Columbia St
Bogalusa, LA 70427-4721
Other names (DBA / former)
- Doing business as
- Gulf States Ltac of Washington St. Tammany
Registry dates
- Enumerated
- 2006-06-06
- Last updated
- 2009-02-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.