JAUBERT PROSTHETICS, LLC (NPI# 1780142836) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780142836 |
| Entity Type | Organization |
| Organization Name | JAUBERT PROSTHETICS, LLC |
| Practice Address |
1625 Ryan St Ste C Lake Charles LA 70601-5965 |
| Practice Telephone | 3374376134 |
| Practice Fax Number | 3374376135 |
| Mailing Telephone | 3374376134 |
| Mailing Fax Number | 3374376135 |
| Enumeration Date | 2019-03-07 |
| Last Update Date | 2019-04-10 |
| Authorized Official Name | JESSE BENITEZ, JR (PRESIDENT) |
| Authorized Official Telephone | 3374376134 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 335E00000X | Prosthetic/Orthotic Supplier | Suppliers |
| Street Address |
1625 RYAN ST STE C |
| City | LAKE CHARLES |
| State | LA |
| Zip Code | 70601-5965 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144833872 | Fresenius Medical Care Sulphur, LLC | Clinic/Center | 330 Chavanne Street, Lake Charles, LA 70601 | 2020-08-24 |
| 1174158844 | Andrea Cormier | Peer Specialist | 751 E Bayou Pines Drive, Suite C, Lake Charles, LA 70601 | 2020-03-03 |
| 1588297303 | Vivian Claire Miller Monceaux | Chiropractor | 780 Bayou Pines East Drive, Lake Charles, LA 70601 | 2020-02-20 |
| 1568001014 | Swla Center for Health Services | Clinic/Center | 3820 Senator J. Bennett Johnston Ave, Charleston Bldg 8, Lake Charles, LA 70601 | 2020-01-02 |
| 1417512070 | Ryan Nathaniel Vaisler | Student in an Organized Health Care Education/Training Program | 1525 Oak Park Blvd., Lake Charles, LA 70601 | 2019-05-08 |
| 1336600675 | Hoh Palliative Care, LLC | Family Medicine | 750 East Bayou Pines, Suite A, Lake Charles, LA 70601 | 2019-03-28 |
| 1073079026 | Alawrass LLC | Pharmacy | 803 E Prien Lake Rd, Lake Charles, LA 70601 | 2019-02-14 |
| 1861962722 | Ellaweena Woods | Counselor | 1409 Kirkman St., Lake Charles, LA 70601 | 2018-12-04 |
| 1770051963 | Hanna Marie Rodriguez | Counselor | 751 Bayou Pines Drive, Suite C, Lake Charles, LA 70601 | 2018-11-06 |
| 1023585213 | Shandora Druilhet | Case Manager/Care Coordinator | 751 E Bayou Pines, Lake Charles, LA 70601 | 2018-10-26 |
| Find all providers in zip 70601 | ||||
| Taxonomy Code | 335E00000X |
| Grouping | Suppliers |
| Classification | Prosthetic/Orthotic Supplier |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386049021 | Vanity Lyfe Hairtique | Prosthetic/Orthotic Supplier | 3309 Ryan St, Lake Charles, LA 70601-8518 | 2014-10-23 |
| 1770876195 | Dynamic Orthotic Services, Inc. | Prosthetic/Orthotic Supplier | 1327 Enterprise Blvd, Lake Charles, LA 70601-6323 | 2011-05-18 |
| 1003027855 | Donna's Lingerie & Swimwear, Inc. | Prosthetic/Orthotic Supplier | 3518 Ryan Street, Lake Charles, LA 70605-6526 | 2007-05-24 |
| 1063561256 | Cocos Shoe Store Inc | Prosthetic/Orthotic Supplier | 2314 Ryan St, Lake Charles, LA 70601-7320 | 2007-01-09 |
| 1801994074 | Letourneau Lifelike Orthotics & Prosthetics of Louisiana, Inc. | Prosthetic/Orthotic Supplier | 3113 Lake St, Lake Charles, LA 70601-8337 | 2006-09-20 |
| 1215995592 | Talberts Medical LLC | Prosthetic/Orthotic Supplier | 1011 Lake Shore Dr, Suite 521, Lake Charles, LA 70601-9412 | 2006-05-03 |
| 1609876192 | Rosewood Nursing Center, LLC | Prosthetic/Orthotic Supplier | 534 15th St, Lake Charles, LA 70601-7336 | 2005-07-26 |
| 1750833836 | Eb's Orthotics & Prosthetics LLC | Prosthetic/Orthotic Supplier | 314 W Mcneese St, Lake Charles, LA 70605-5604 | 2016-10-25 |
| 1275719551 | Lake Area Prosthetics & Orthotics | Prosthetic/Orthotic Supplier | 505 W College St, Lake Charles, LA 70605-1529 | 2008-01-16 |
| 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 |
| 1295298321 | Swamp Elite Retreat Inc | Prosthetic/Orthotic Supplier | 46424 Rufus Bankston Rd, Hammond, LA 70401-6108 | 2019-04-06 |
| 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 |
| Find all providers with the same taxonomy | ||||
| City | LAKE CHARLES |
| Zip Code | 70601 |
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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.