FRESENIUS MEDICAL CARE BROUSSARD, LLC (NPI# 1568079085) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568079085 |
| Entity Type | Organization |
| Organization Name | FRESENIUS MEDICAL CARE BROUSSARD, LLC |
| Practice Address |
138 Youngsville Highway Lafayette LA 70508-4536 |
| Practice Telephone | 3372109960 |
| Mailing Telephone | 3372109960 |
| Enumeration Date | 2020-09-29 |
| Last Update Date | 2020-09-29 |
| Authorized Official Name | JAMES J DIVITO (VICE PRESIDENT) |
| Authorized Official Telephone | 7816999000 |
| Is Organization Subpart | Y |
| Parent Organization Name | FRESENIUS MEDICAL CARE HOLDINGS. INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QE0700X |
Clinic/Center Specialization: End-Stage Renal Disease (ESRD) Treatment |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Fresenius Kidney Care Broussard | Doing Business As Name - Organization |
| Street Address |
138 YOUNGSVILLE HIGHWAY |
| City | LAFAYETTE |
| State | LA |
| Zip Code | 70508-4536 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346868676 | Cypress Bend Oral & Maxillofacial Surgery | Dentist | 106 Rue Bastille, Lafayette, LA 70508 | 2020-07-13 |
| 1184250607 | Learning Grove Therapy LLC | Clinic/Center | 105 Anaheim Lane, Lafayette, LA 70508 | 2020-03-16 |
| 1780218727 | Jennifer Trumps | Case Manager/Care Coordinator | 200 Entergy Parkway, Lafayette, LA 70508 | 2020-02-28 |
| 1740749605 | Hunter Sy Arceneaux | Physical Therapist | 1700 Kaliste Saloom Road, Building 3, Suite 300, Lafayette, LA 70508 | 2019-03-19 |
| 1295292787 | Brad Michael Gros | Counselor | 160 South Beadle Road, Lafayette, LA 70508 | 2019-02-21 |
| 1205337581 | Alternative Perspectives, LLC | Clinic/Center | 2807 Kaliste Saloom Rd Ste B, Lafayette, LA 70508 | 2018-02-22 |
| 1124528807 | Zachariah James Hebert | Counselor | 1602 W Pinhook Rd Suite 100a, The Family Tree, Lafayette, LA 70508 | 2018-02-19 |
| 1164934477 | Ilyas Munshi, Md Apmc | Non-Pharmacy Dispensing Site | 99 W. Martial Ave, Lafayette, LA 70508 | 2017-10-26 |
| 1447761226 | Louisiana Orthopaedic Specialists, LLC | Durable Medical Equipment & Medical Supplies | 4231 Ambassador Caffery Pkwy, Suite 102, Lafayette, LA 70508 | 2017-10-19 |
| 1306365457 | Mk Dixon Counseling and Consulting | Counselor | 105 Industrial Parkway, Lafayette, LA 70508 | 2017-09-10 |
| Find all providers in zip 70508 | ||||
| Taxonomy Code | 261QE0700X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | End-Stage Renal Disease (ESRD) Treatment |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831685882 | Total Renal Care Inc | Clinic/Center | 2 Executive Dr Ste B, Lafayette, IN 47905-4878 | 2018-07-02 |
| 1194989293 | Dialysis Clinic Inc | Clinic/Center | 301 Alcide Dominique Dr, Lafayette, LA 70506-1052 | 2008-07-17 |
| 1245320639 | Liberty Dialysis - Lafayette LLC | Clinic/Center | 1020 N 18th St, Lafayette, IN 47904-2279 | 2006-10-13 |
| 1609968254 | Greater Lafayette Health Services | Clinic/Center | 1000 North 18th Street, Lafayette, IN 47904 | 2006-09-29 |
| 1578665956 | Bio-medical Applications of Louisiana, LLC | Clinic/Center | 910 Martin Luther King Jr Dr, Lafayette, LA 70501-1856 | 2006-09-05 |
| 1174635932 | Bio-medical Applications of Alabama, Inc. | Clinic/Center | 802 Hospital St, Lafayette, AL 36862-2818 | 2006-08-31 |
| 1972520997 | Wellbound of Lafayette LLC | Clinic/Center | 2 Executive Dr, Suite B, Lafayette, IN 47905-4878 | 2006-07-16 |
| 1104856269 | Bio-medical Applications of Louisiana, LLC | Clinic/Center | 1340 Surrey St Ste 101, Lafayette, LA 70501-7647 | 2006-07-04 |
| 1649674359 | Dialysis Clinic Inc | Clinic/Center | 224 Saint Landry St, Suite 3c, Lafayette, LA 70506-3549 | 2014-10-09 |
| 1710315478 | Total Renal Care Inc | Clinic/Center | 314 Youngsville Hwy, Suite 125, Lafayette, LA 70508-4524 | 2013-10-16 |
| Find all providers in LAFAYETTE | ||||
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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.