SWAMP ELITE RETREAT INC


Address: 46424 Rufus Bankston Rd, Hammond, LA 70401-6108
Phone: 9854670888

SWAMP ELITE RETREAT INC (NPI# 1295298321) 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) 1295298321
Entity Type Organization
Organization Name SWAMP ELITE RETREAT INC
Practice Address 46424 Rufus Bankston Rd
Hammond
LA 70401-6108
Mailing Address Po Box 631
Ponchatoula
LA 70454-0631
Practice Telephone 9854670888
Mailing Telephone 9854670888
Enumeration Date 2019-04-06
Last Update Date 2019-04-06
Authorized Official Name MRS. TRINA HAYNES (DIRECTOR)
Authorized Official Telephone 9854670888
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 335E00000X Prosthetic/Orthotic Supplier Suppliers

Other Data Sources

Entity Type Entity Name Entity Address
System for Award Management (SAM) Entities SWAMP ELITE RETREAT INC. 125 North 11th St, Ponchatoula, LA 70454-3138

Office Location

Street Address 46424 RUFUS BANKSTON RD
City HAMMOND
State LA
Zip Code 70401-6108

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1245855659 Tabita Hooper Dentist 2807 W Thomas, Hammond, LA 70401 2020-06-11
1689200826 Thomas Michael Nedow Specialist/Technologist 500 W University Avenue, Hammond, LA 70401 2020-03-19
1861025041 Jonte Bernard Specialist/Technologist 1150 N General Pershing, Hammond, LA 70401 2020-02-17
1275196156 Monica Rome Thompson Case Manager/Care Coordinator 1312 N Morrison Blvd, Hammond, LA 70401 2019-04-17
1740752864 Katelyn D Ennis Case Manager/Care Coordinator 1312 N. Morrison Blvd., Hammond, LA 70401 2018-12-31
1396215257 Breyanna Johnson Case Manager/Care Coordinator 1312 North Morrison Blvd, Hammond, LA 70401 2018-12-04
1134695331 Shanquel Antonet Mckay Case Manager/Care Coordinator 1312 N. Morrison Blvd, Hammond, LA 70401 2018-10-16
1598243412 Brooke Lynn Boggs Preventive Medicine 800 North Hazel St., Hammond, LA 70401 2018-08-02
1811499197 Ashley Daytora Cohn Counselor 15043 Woodstone Dr Apt 226, Hammond, LA 70401 2018-03-02
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Taxonomy Information

Taxonomy Code 335E00000X
Grouping Suppliers
Classification Prosthetic/Orthotic Supplier

Taxonomy Definition

An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition.
Notes: Source: American Board for Certification in Orthotics, Prosthetics, and Pedorthics, Inc. [7/1/2010: modified, 7/1/2013: modified] Additional Resources: American Board for Certification in Orthotics, Prosthetics and Pedorthics, Inc., www.abcop.org and Board of Certification/Accreditation, International, www.bocusa.org.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1659615284 Andrea Kopfler LLC Prosthetic/Orthotic Supplier 470 Palace Dr, Hammond, LA 70403 2012-11-20
1851613087 Coastal Orthotics and Prosthetics LLC Prosthetic/Orthotic Supplier 1100 C M Fagan Dr, Suite 100, Hammond, LA 70403-5963 2010-02-15

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1558970418 B'obsessed Hair Collection Prosthetic/Orthotic Supplier 3009 Ray Weiland Dr, Baker, LA 70714-3251 2020-07-27
1093337305 Sew Luxe Customs, LLC Prosthetic/Orthotic Supplier 8674 Quarters Lake Road, Building 11 Suit 1, Baton Rouge, LA 70809 2020-05-08
1831710060 The Monte' Garcia Salon Prosthetic/Orthotic Supplier 10732 S Mall Dr Apt 423, Baton Rouge, LA 70809-4814 2020-04-28
1033746961 Orthotic & Prosthetic Solutions LLC Prosthetic/Orthotic Supplier 11616 Southfork Ave Ste 202, Baton Rouge, LA 70816-5241 2020-03-23
1154953321 One Source Inc. Prosthetic/Orthotic Supplier 1346 Lindberg Dr Ste 8, Slidell, LA 70458-8081 2020-02-06
1255975421 Orthotic & Prosthetic Specialists, Inc. Prosthetic/Orthotic Supplier 10241 Coursey Blvd Ste C, Baton Rouge, LA 70816-0409 2019-10-31
1356908180 Louisiana Prosthetics, LLC Prosthetic/Orthotic Supplier 4451 Bluebonnet Blvd Ste C, Baton Rouge, LA 70809-9647 2019-05-28
1780142836 Jaubert Prosthetics, LLC Prosthetic/Orthotic Supplier 1625 Ryan St Ste C, Lake Charles, LA 70601-5965 2019-03-07
1225501752 Adaptive Prosthetics and Orthotics LLC Prosthetic/Orthotic Supplier 1208 Louise St, Thibodaux, LA 70301-4257 2019-01-08
1174094304 Magnolia Medical, LLC Prosthetic/Orthotic Supplier 626 Verot School Rd Ste C, Lafayette, LA 70508-5094 2018-12-16
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Competitor

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City HAMMOND
Zip Code 70401

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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