PENN 123 LLC – NPI #1932640521
Substance Abuse Rehabilitation Facility

A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.

Health Care Provider Taxonomy Code for Substance Abuse Rehabilitation Facility

PENN 123 LLC is a substance abuse rehabilitation facility located in METAIRIE, LA. NPPES has assigned the NPI number 1932640521 to PENN 123 LLC on March 15, 2017. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 324500000X from the Health Care Provider Taxonomy code set, which is classified as Substance Abuse Rehabilitation Facility.

The NPI profile was last updated on May 07, 2026. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for PENN 123 LLC below.

NPI Profile for
PENN 123 LLC

NPI Number
1932640521
Enumeration Date

(more than 9 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
PENN 123 LLC
Primary location
4933 WABASH ST
METAIRIE, LA 70001
Phone: (504) 780-2766 Fax: (985) 307-0827
Mailing address
1600 AVENUE OF THE STATES STE 700
LAKEWOOD, NJ 08701-4909
Phone: (732) 967-2635 Fax:
Organization Subpart
No
Authorized Official
HUDI ALTER
CEO
Phone: (732) 307-8000
Updated
Certification Date
May 07, 2026

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
324500000X
- Substance Abuse Rehabilitation Facility (Primary)
276400000X
- Rehabilitation, Substance Use Disorder Unit

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.