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SCC OF HOUMA LLC NPI 1750305223


NPI Information

NPI: 1750305223
Provider Name: SCC OF HOUMA LLC

Doing Business As: CHATEAU TERREBONNE HEALTH CARE

Classification: Nursing Care - 251J00000X
Entity Type: Organization

CLIA Number: 19D0709735

Address:
1386 WEST TUNNELL BLVD
HOUMA, LA
ZIP 70360
Phone: (985) 872-4553
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SCC OF HOUMA LLC is a nursing care in Houma, LA. The provider is a Nursing Care Agency is an entity that provides skilled nursing care through the services of a Registered Nurse (RN) or a Licensed Practical Nurse (LPN), by employees, contracted individuals, or via a registry, in a variety of settings. The agency may engage in providing private duty nursing and/or staffing services. SCC OF HOUMA LLC NPI is 1750305223. The provider is registered as an organization entity type.
The provider Is Doing Business As Chateau Terrebonne Health Care.

The provider's business location address is:

1386 WEST TUNNELL BLVD
HOUMA, LA
ZIP 70360
Phone: (985) 872-4553
Fax: (985) 872-1803

The provider's authorized official is Clarence G Brodhead .
The authorized official title is General Manager Member Llc and has the following contact phone number (985) 872-4553.

The CLIA number assigned to this NPI record is 19D0709735 - skilled nursing/nursing facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/27/2006 and was last updated on 11/27/2007.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1251J00000XNursing CareYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11518069MEDICAIDLOUISIANA
2195602MEDICARE OSCAR/CERTIFICATIONLOUISIANA

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: 11/14/2023

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