Active Rehab LLC
Active Rehab LLC is a healthcare organization registered as Adult Day Care Clinic/Center in Crowley, LA, holding Type 2 (organization) NPI 1417946070 since 2005. The authorized official on file is E Paul Broussard, Cfo.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1417946070 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Active Rehab LLC |
| Practice address | 318 E PARK ST, Crowley, LA, 70526 |
| Phone | 3377883600 |
| Fax | 3377851188 |
| Enumeration date | 2005-10-17 |
| Last updated in NPPES | 2020-08-22 |
Authorized official
| Name | E Paul Broussard |
|---|---|
| Title | Cfo |
| Phone | 3377883600 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 261QA0600X | Adult Day Care Clinic/Center | Primary | 12515 | LA |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1110434 | Medicaid | LA | — |
Copy-ready billing details
Provider: Active Rehab LLC NPI: 1417946070 Taxonomy: 261QA0600X (Adult Day Care Clinic/Center) Address: 318 E PARK ST, Crowley, LA, 70526
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1265421820 | Southwest Ambulatory Behavioral Services, Inc. | Organization | Mental Health Clinic/Center (Including Community Mental Health Center) | Crowley, LA |
| 1841245461 | Acadiana Psych Associates LLC | Organization | Mental Health Clinic/Center (Including Community Mental Health Center) | Crowley, LA |
| 1568685121 | Mandi Melton | Individual | Clinical Social Worker | Crowley, LA |
| 1295922490 | Heather Prejean | Individual | Clinical Social Worker | Crowley, LA |
| 1700021102 | Heather Prejean Lcsw, Inc | Organization | Clinical Social Worker | Crowley, LA |
| 1073758462 | Mandi Laper, Lcsw, Inc | Organization | Clinical Social Worker | Crowley, LA |
| 1922329929 | Maria Hebert, Lcsw, Inc | Organization | Clinical Social Worker | Crowley, LA |
Verify this record
Cross-check NPI 1417946070 against the authoritative CMS record: view Active Rehab LLC on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What is a Type 2 NPI?
What type of organization is Active Rehab LLC?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2020-08-22.