LOUISIANA HEALTH CARE PRACTITIONERS LLC (NPI# 1497095681) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497095681 |
| Entity Type | Organization |
| Organization Name | LOUISIANA HEALTH CARE PRACTITIONERS LLC |
| Practice Address |
4855 Highway 10 West Suite 3 Elizabeth LA 70638-4855 |
| Mailing Address |
1007 Sycamore St Ste B Cottonport LA 71327-3403 |
| Practice Telephone | 3189412336 |
| Practice Fax Number | 3189412388 |
| Mailing Telephone | 8004620742 |
| Mailing Fax Number | 3187171663 |
| Enumeration Date | 2013-02-25 |
| Last Update Date | 2017-10-03 |
| Authorized Official Name | ALEC DONOVAN JEANSONNE (PRACTICE ADMINISTRATOR) |
| Authorized Official Telephone | 3188802144 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities | ||
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
2203782992 | LA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 2434527 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487183612 | Louisiana Health Care Practitioners LLC | Clinic/Center | 457 W Waddil St Ste A, Marksville, LA 71351 | 2017-06-10 |
| 1477724995 | Louisiana Health Care Practitioners LLC | Clinic/Center | 1007 Sycamore St Ste B, Cottonport, LA 71327-3403 | 2008-03-13 |
| Street Address |
4855 HIGHWAY 10 WEST SUITE 3 |
| City | ELIZABETH |
| State | LA |
| Zip Code | 70638-4855 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033699525 | Dodie Gordon Daniels | Nurse Practitioner | 504 W. Main Street, Elizabeth, LA 70638 | 2018-08-15 |
| 1457454001 | Brian Eric Fussell | Dentist | 802 Riverside Drive, Franklinton, LA 70638 | 2006-09-07 |
| 1295776680 | Progressive Acute Care Oakdale, LLC | Clinic/Center | 504 West Main St, Elizabeth, LA 70638 | 2006-06-09 |
| 1871019471 | Emily Marcantel Cox | Nurse Practitioner | 504 W Main St, Elizabeth, LA 70638 | 2017-08-16 |
| 1205930450 | Clhg-oakdale, LLC | Clinic/Center | 504 West Main, Oakdale, LA 70638-0001 | 2006-09-09 |
| 1184147787 | Melanie Welch | Nurse Practitioner | 4855 Highway 10 Ste C, Elizabeth, LA 70638-4800 | 2017-07-25 |
| 1912080730 | Mica Mcdaniel | Nurse Practitioner | 4855 Hwy 10 W, Elizabeth, LA 70638-6343 | 2006-10-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548861750 | Columbia Dental of Elizabeth Pa | Dentist | 151 Jefferson Avenue, Elizabeth, NJ 07201 | 2020-11-04 |
| 1295336824 | Rebecca G Oliveira | Physical Therapist | 63 Elmora Ave, Elizabeth, NJ 07202-1651 | 2020-11-02 |
| 1811596307 | Kinjal J Mehta | Dentist | 151 Jefferson Ave, Elizabeth, NJ 07201-2490 | 2020-10-26 |
| 1396344511 | Robin Hoover | Technician | 56 Pioneer Cir Apt 301, Elizabeth, WV 26143-0087 | 2020-10-19 |
| 1326645664 | Amed Bientz Mendez | Dentist | 700 N Broad St Ste 101, Elizabeth, NJ 07208-2310 | 2020-10-08 |
| 1487269916 | Syren Gonzalez Perez | Dentist | 408 Vine St Apt 1b, Elizabeth, NJ 07202-2350 | 2020-09-11 |
| 1366057978 | Betty Jeanellan Green | Technician | 157 Railroad Dr, Elizabeth, WV 26143-5107 | 2020-09-10 |
| 1134734627 | Sheila Gibson | Technician | 68 W Crystal Lake Way, Elizabeth, WV 26143-5776 | 2020-09-10 |
| 1295347235 | Linda Mae Sams | Technician | 88 Churchill St., Elizabeth, WV 26143 | 2020-08-20 |
| 1265043012 | Balancerehab and Physical Therapy LLC | Physical Therapist | 406a N Broad St, Elizabeth, NJ 07208-3365 | 2020-08-14 |
| Find all providers in ELIZABETH | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
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|---|---|---|---|---|
| 1295286045 | Midwest Medical Center | Clinic/Center | 117 N Main St, Elizabeth, IL 61028-8800 | 2016-10-17 |
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| 1568062446 | Lhcg Clxix, LLC | Clinic/Center | 821 N Union St, Opelousas, LA 70570-6313 | 2020-10-29 |
| 1760089791 | Blanchard Medical | Clinic/Center | 5948 N Market St, Shreveport, LA 71107-2017 | 2020-10-02 |
| 1922619238 | Pediatric Group of Acadiana, LLC | Clinic/Center | 818 W. Veterans Memorial, Kaplan, LA 70548 | 2020-08-11 |
| 1720606478 | Dr Lawanda Lamar Bellamy Md A Professional Medical Corporation | Clinic/Center | 1307 Crowley-rayne Hwy, Suite B, Crowley, LA 70526 | 2020-07-09 |
| 1669002002 | Franklin Parish Hospital Service Dist 1 | Clinic/Center | 7645 Gilbert Street, Gilbert, LA 71336 | 2020-01-24 |
| 1184260937 | Children's International, LLC | Clinic/Center | 5151 Plank Rd Ste 190, Baton Rouge, LA 70805-3501 | 2019-11-26 |
| 1003467440 | Clhg-acadian LLC | Clinic/Center | 151 Hill St Ste 102, Eunice, LA 70535-5845 | 2019-09-26 |
| 1164073524 | Tangi Wellness & Health | Clinic/Center | 906 C M Fagan Dr Ste B3, Hammond, LA 70403-6056 | 2019-09-26 |
| 1679126510 | Pediatric Group of Acadiana, LLC | Clinic/Center | 1307 Crowley Rayne Hwy Ste C, Crowley, LA 70526-8210 | 2019-07-19 |
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| 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.