PRESCRIBED PEDIATRIC EXTENDED CENTER INC (NPI# 1457753808) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457753808 |
| Entity Type | Organization |
| Organization Name | PRESCRIBED PEDIATRIC EXTENDED CENTER INC |
| Other Organization Name | PEDIATRIC HEALTH CHOICE |
| Practice Address |
2644 N Causeway Blvd Suite 100 Metairie LA 70002-6055 |
| Mailing Address |
8509 Benjamin Rd Suite D Tampa FL 33634-1224 |
| Practice Telephone | 8138800320 |
| Mailing Telephone | 8138800320 |
| Enumeration Date | 2014-09-17 |
| Last Update Date | 2014-09-17 |
| Authorized Official Name | HEIDI TOSTI (VP FINANCE) |
| Authorized Official Telephone | 8137695358 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM3000X |
Clinic/Center Specialization: Medically Fragile Intants and Children Day Care |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Pediatric Health Choice | Doing Business As Name - Organization |
| Street Address |
2644 N CAUSEWAY BLVD SUITE 100 |
| City | METAIRIE |
| State | LA |
| Zip Code | 70002-6055 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114541737 | Solstice Technologies, Inc. | Clinical Medical Laboratory | 3501 Severn Ave Suite 24, Metairie, LA 70002 | 2020-05-29 |
| 1891335071 | Kristin Alongi | Nurse Practitioner | 3838 N Causeway Blvd. Ste 2200, Metairie, LA 70002 | 2020-01-15 |
| 1841850450 | Emily Suarez Tan | Dentist | 3301 Veterans Blvd., Suite 203, Metairie, LA 70002 | 2019-06-17 |
| 1902369317 | Unitedhealthcare of Louisiana, Inc. | Health Maintenance Organization | 3838 N. Causeway Blvd., Suite 2600, Metairie, LA 70002 | 2019-04-11 |
| 1013479195 | Jeffrey Scott Toler | Dentist | 2937 Veterans Memorial Blvd, Ste C, Metairie, LA 70002 | 2019-04-05 |
| 1982188470 | Kelly Brooke Anderson | Clinic/Center | 2215 Veterans Blvd, Metairie, LA 70002 | 2018-09-20 |
| 1831695253 | A&g Pediatrics LLC | Community Based Residential Treatment Facility, Mental Illness | 3001 Division St., Suite 206, Metairie, LA 70002 | 2018-04-04 |
| 1730691064 | Desire Care, LLC | Technician | 2800 Hessmer Ave, Suite B, Metairie, LA 70002 | 2017-10-26 |
| 1104338458 | Monet Wiltz | Case Manager/Care Coordinator | 2637 Edenborn Ave Ste 302, Metairie, LA 70002 | 2017-10-26 |
| 1316461395 | Crystal Mc Bride | Counselor | 3100 Ridgelake Dr. Suite 309, Metairie, LA 70002 | 2017-08-01 |
| Find all providers in zip 70002 | ||||
| Taxonomy Code | 261QM3000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Medically Fragile Intants and Children Day Care |
| 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] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194120063 | Pediatria Healthcare, LLC | Clinic/Center | 6459 Riverside Dr, Metairie, LA 70003-3206 | 2014-11-04 |
| 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 |
| 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 |
| 1093172058 | Pelican Pediatric Day Health Care Center, LLC | Clinic/Center | 400 Martin Luther King Jr Dr, Suite F, Natchitoches, LA 71457-4056 | 2016-01-21 |
| 1922409069 | Pediatria Healthcare, LLC | Clinic/Center | 385 Bert Kouns Industrial Loop, Suite 600, Shreveport, LA 71106-8158 | 2014-09-09 |
| 1629493770 | Rapides Pediatric Day Health Care, LLC | Clinic/Center | 3212 Industrial St, Alexandria, LA 71301 | 2014-02-26 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on PRESCRIBED PEDIATRIC EXTENDED CENTER INC.
| 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.