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HEALTHY LIVING FAMILY CARE CENTER BATON ROUGE NPI 1386012169


NPI Information

NPI: 1386012169
Provider Name: HEALTHY LIVING FAMILY CARE CENTER BATON ROUGE
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

Address:
4962 FLORIDA BLVD
BATON ROUGE, LA
ZIP 70806
Phone: (225) 663-2445
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HEALTHY LIVING FAMILY CARE CENTER BATON ROUGE is a primary care clinic center in Baton Rouge, LA. HEALTHY LIVING FAMILY CARE CENTER BATON ROUGE NPI is 1386012169. The provider is registered as an organization entity type.

The provider's business location address is:

4962 FLORIDA BLVD
BATON ROUGE, LA
ZIP 70806-031
Phone: (225) 663-2445

The provider's authorized official is Gardy Valentin .
The authorized official title is Medical Doctor and has the following contact phone number (973) 687-7832.

The enumeration date for this NPI number is 9/9/2015 and was last updated on 3/22/2016.


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
1261QP2300XClinic/CenterPrimary CareMD205405LOUISIANAYes

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
12368176MEDICAIDLOUISIANA
22410733MEDICAIDLOUISIANA
32195859MEDICAIDLOUISIANA
4472739MEDICARE PINLOUISIANA

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: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.