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PELICAN PEDIATRIC DAY HEALTH CARE CENTER LLC NPI 1093172058


NPI Information

NPI: 1093172058
Provider Name: PELICAN PEDIATRIC DAY HEALTH CARE CENTER, LLC

Doing Business As: PELICAN PEDIATRIC DAY HEALTH CARE CENTER

Classification: Clinic/Center - 261QM3000X
Entity Type: Organization

Specialization: Medically Fragile Infants and Children Day Care

CLIA Number: 19D2112476

Address:
400 MARTIN LUTHER KING JR DR
SUITE F
NATCHITOCHES, LA
ZIP 71457
Phone: (318) 238-3880
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PELICAN PEDIATRIC DAY HEALTH CARE CENTER, LLC is a medically fragile infants and children day care clinic center in Natchitoches, LA. The provider is 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.). PELICAN PEDIATRIC DAY HEALTH CARE CENTER, LLC NPI is 1093172058. The provider is registered as an organization entity type.
The provider Is Doing Business As Pelican Pediatric Day Health Care Center.

The provider's business location address is:

400 MARTIN LUTHER KING JR DR
SUITE F
NATCHITOCHES, LA
ZIP 71457-056
Phone: (318) 238-3880

The provider's authorized official is Melissa Hall .
The authorized official title is Owner/coo and has the following contact phone number (318) 238-3880.

The CLIA number assigned to this NPI record is 19D2112476 - other - pediatric day health care with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/21/2016 and was last updated on 3/28/2017.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QM3000XClinic/CenterMedically Fragile Infants and Children Day CareLOUISIANAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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