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BEDSIDE HOMECARE LLC NPI 1639327992


NPI Information

NPI: 1639327992
Provider Name: BEDSIDE HOMECARE, LLC
Classification: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities - 320900000X
Entity Type: Organization
Address:
1602 W PINHOOK RD STE 209
LAFAYETTE, LA
ZIP 70508
Phone: (337) 269-5885
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BEDSIDE HOMECARE, LLC is a community based residential treatment facility, intellectual and/or developmental disabilities in Lafayette, LA. The provider is a home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. BEDSIDE HOMECARE, LLC NPI is 1639327992. The provider is registered as an organization entity type.

The provider's business location address is:

1602 W PINHOOK RD STE 209
LAFAYETTE, LA
ZIP 70508-735
Phone: (337) 269-5885
Fax: (337) 269-5884

The provider's authorized official is Norlet Taylor Sonnier .
The authorized official title is Administrator/owner and has the following contact phone number (337) 269-5885.

The enumeration date for this NPI number is 8/28/2008 and was last updated on 8/28/2008.


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
1320900000XCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities15037LOUISIANAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11073202MEDICAIDLOUISIANA

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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