THIBODAUX PDHC LLC NPI 1629474192

NPI Information

  • NPI: 1629474192
  • Provider Name: THIBODAUX PDHC, LLC
  • Classification: Clinic/Center - 261QM3000X
  • Specialization: Medically Fragile Infants and Children Day Care
  • Entity Type: Organization
  • Doing Business As: THIBODAUX PEDIATRIC DAY HEALTH CARE
  • CLIA Number: 19D2116148
  • Address: 124 SUCRE LN
    THIBODAUX, LA
    ZIP 70301
  • Phone: (985) 446-1541

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NPI Details

THIBODAUX PDHC, LLC is a medically fragile infants and children day care clinic center in Thibodaux, 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.). THIBODAUX PDHC, LLC NPI is 1629474192. The provider is registered as an organization entity type.
The provider Is Doing Business As Thibodaux Pediatric Day Health Care.

The provider's business location address is:

124 SUCRE LN
THIBODAUX, LA
ZIP 70301-214
Phone: (985) 446-1541
Fax: (985) 446-3864

The provider's authorized official is Mary Amanda Williamson .
The authorized official title is Owner and has the following contact phone number (985) 446-1541.

The CLIA number assigned to this NPI record is 19D2116148 - skilled nursing facility/nursing facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/11/2014 and was last updated on 2/21/2017.

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 Care2203782237LOUISIANAYes

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: 11/21/2025

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