PRESCRIBED PEDIATRIC EXTENDED CARE, INC (NPI# 1619300506) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619300506 |
| Entity Type | Organization |
| Organization Name | PRESCRIBED PEDIATRIC EXTENDED CARE, INC |
| Other Organization Name | PEDIATRIC HEALTH CHOICE |
| Practice Address |
2570 Sw Railroad Ave Hammond LA 70403-1514 |
| Mailing Address |
8509 Benjamin Rd Ste D Tampa FL 33634-1224 |
| Practice Telephone | 9853865750 |
| Mailing Telephone | 8138800320 |
| Mailing Fax Number | 8138800519 |
| Enumeration Date | 2013-08-14 |
| Last Update Date | 2013-08-14 |
| 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 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962997957 | Prescribed Pediatric Extended Care, Inc | Clinic/Center | 2810 Highway 77 Ste Ab, Panama City, FL 32405-4479 | 2018-06-22 |
| 1265844013 | Prescribed Pediatric Extended Care, Inc | Clinic/Center | 5505 Jackson St, Alexandria, LA 71303-2324 | 2014-05-28 |
| Street Address |
2570 SW RAILROAD AVE |
| City | HAMMOND |
| State | LA |
| Zip Code | 70403-1514 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366074403 | Elizabeth M Norman | Nurse Practitioner | 19065 Dr John Lambert Drive, Hammond, LA 70403 | 2020-02-06 |
| 1942830757 | Trinity Wellness Counseling LLC. | Social Worker | 43171 Tillman Dr, Hammond, LA 70403 | 2020-01-21 |
| 1407419138 | Cypress Pointe Urgent Care, LLC | Clinic/Center | 19065 Dr. John Lambert Drive, Hammond, LA 70403 | 2019-04-18 |
| 1700341724 | Taylor Kioria Johnson | Specialist/Technologist | 40151 Macedonia Rd, Hammond, LA 70403 | 2019-02-04 |
| 1912478264 | Julean Marie Walters | Behavioral Analyst | 1250 Sw Railroad Ave., Suite 130, Hammond, LA - LOUISIANA 70403 | 2018-12-16 |
| 1659849263 | Andie Street | Speech-Language Pathologist | 1000 Cm Fagan Drive, Unit C, Hammond, LA 70403 | 2018-11-13 |
| 1932684701 | Kurt Edwin Dichiara | Chiropractor | 1330 S Magnolia St, Suite B, Hammond, LA 70403 | 2018-09-27 |
| 1225529175 | Heart To Heart Counseling & Counseling | Social Worker | 30430 Dawson Ln, Hammond, LA 70403 | 2018-05-27 |
| 1477041630 | Epiphany Healthcare of Hammond | Psychiatry & Neurology | 906 Cm Fagan Drive Bldg A Ste 6a, Hammond, LA 70403 | 2018-04-24 |
| 1457850158 | Dynamic Performance Chiropractic of Hammond | Chiropractor | 1330 South Magnolia, Suite B, Hammond, LA 70403 | 2018-02-08 |
| Find all providers in zip 70403 | ||||
| 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 |
|---|---|---|---|---|
| 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 |
| 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 |
| Find all providers with the same taxonomy | ||||
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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.