PELICAN PEDIATRIC DAY HEALTH CARE CENTER, LLC


Address: 400 Martin Luther King Jr Dr, Suite F, Natchitoches, LA 71457-4056
Phone: 3182383880

PELICAN PEDIATRIC DAY HEALTH CARE CENTER, LLC (NPI# 1093172058) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1093172058
Entity Type Organization
Organization Name PELICAN PEDIATRIC DAY HEALTH CARE CENTER, LLC
Other Organization Name PELICAN PEDIATRIC DAY HEALTH CARE CENTER
Practice Address 400 Martin Luther King Jr Dr
Suite F
Natchitoches
LA 71457-4056
Mailing Address 108 Comanche Trl
West Monroe
LA 71291-8106
Practice Telephone 3182383880
Mailing Telephone 3183729023
Enumeration Date 2016-01-21
Last Update Date 2017-03-28
Authorized Official Name MRS. MELISSA HALL (OWNER/COO)
Authorized Official Telephone 3182383880
Authorized Official Credential R.N.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QM3000X Clinic/Center
Specialization: Medically Fragile Intants and Children Day Care
LA Ambulatory Health Care Facilities

Other Provider/Organization Names

Other Name Type Code
Pelican Pediatric Day Health Care Center Doing Business As Name - Organization

Office Location

Street Address 400 MARTIN LUTHER KING JR DR
SUITE F
City NATCHITOCHES
State LA
Zip Code 71457-4056

Providers in the same location

NPI Name Taxonomy Address Enumeration
1487853834 We Care Home Care, Inc. Technician 400 Martin Luther King Jr Dr, Suite G, Natchitoches, LA 71457-4056 2007-07-16
1205026267 We Care Home Care, Inc. Day Training, Developmentally Disabled Services 400 Martin Luther King Jr Dr, Suite G, Natchitoches, LA 71457-4056 2007-07-26
1548469901 We Care Home Care, Inc. Home Health 400 Martin Luther King Jr Dr, Suite G, Natchitoches, LA 71457-4056 2007-07-16

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1427615848 Special Crawford Case Manager/Care Coordinator 419 Wasington Ave, Mansfield, LA 71457 2019-05-21
1497232748 Hand In Hand Hospice Care LLC Hospice Care, Community Based 135 East 5th Street, Natchitoches, LA 71457 2018-07-19
1851809214 Latoya M Gray Counselor 132 Kelly St, Natchitoches, LA 71457 2018-01-18
1467968024 Amanda K Cully Case Manager/Care Coordinator 200 Rapides Dr Ste A, Natchitoches, LA 71457 2017-12-19
1972021749 Jessica Smith Case Manager/Care Coordinator 325 South Drive, Natchitoches, LA 71457 2017-08-31
1689190720 Chartia Hurt Counselor 430 Dixie Plaza, Natchitoches, LA 71457 2017-08-21
1902331556 Daima Atinkah Specialist/Technologist 468 Caspari Drive, Natchitoches, LA 71457 2017-04-20
1548794969 Stephanie Sowell Counselor 120 Laird Fletcher Rd, Natchitoches, LA 71457 2017-04-12
1538692579 Cynthia Harmon Counselor 1025 Hill Ave, Natchitoches, LA 71457 2017-04-06
1104365097 Justin Dewayne Evans I Counselor 820 Gentry Davis, Natchitoches, LA 71457 2017-02-13
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Taxonomy Information

Taxonomy Code 261QM3000X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Medically Fragile Intants and Children Day Care

Taxonomy Definition

An entity, facility, or distinct part of a facility specially equipped and staffed to provide care for medically fragile children with varied and complex care needs (e.g., enteral or parental feeding, ostomy care, respiratory/ventilator care, medications and therapies, etc.).
Notes: [7/1/2003: new]

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1174120612 Pediatrust Acadiana, LLC Clinic/Center 331 Doucet Rd, Lafayette, LA 70503-3447 2020-10-07
1629474192 Thibodaux Pdhc, LLC Clinic/Center 124 Sucre Ln, Thibodaux, LA 70301-4214 2014-11-11
1194120063 Pediatria Healthcare, LLC Clinic/Center 6459 Riverside Dr, Metairie, LA 70003-3206 2014-11-04
1457753808 Prescribed Pediatric Extended Center Inc Clinic/Center 2644 N Causeway Blvd, Suite 100, Metairie, LA 70002-6055 2014-09-17
1265844013 Prescribed Pediatric Extended Care, Inc Clinic/Center 5505 Jackson St, Alexandria, LA 71303-2324 2014-05-28
1467883181 Caring Hands Pediatric Day Health Center, LLC Clinic/Center 1009 Professional Dr W, Shreveport, LA 71105-5624 2013-12-05
1568896561 Lauve's Pdhc, LLC Clinic/Center 2000 E Texas St, Bossier City, LA 71111-3830 2013-08-26
1619300506 Prescribed Pediatric Extended Care, Inc Clinic/Center 2570 Sw Railroad Ave, Hammond, LA 70403-1514 2013-08-14
1598029092 In Loving Arms, LLC Clinic/Center 6637 N Foster Dr, Baton Rouge, LA 70811-6164 2012-06-28
1922409069 Pediatria Healthcare, LLC Clinic/Center 385 Bert Kouns Industrial Loop, Suite 600, Shreveport, LA 71106-8158 2014-09-09
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Competitor

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City NATCHITOCHES
Zip Code 71457

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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