TRANSAFRICAN DEVELOPMENT, INC. (NPI# 1053711887) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053711887 |
| Entity Type | Organization |
| Organization Name | TRANSAFRICAN DEVELOPMENT, INC. |
| Other Organization Name | JEFFERSON DAVIS RURAL CLINIC |
| Practice Address |
308 Palmer St Welsh LA 70591-4320 |
| Mailing Address |
Po Box 1015 Lake Charles LA 70602-1015 |
| Practice Telephone | 7132928739 |
| Mailing Telephone | 7132928739 |
| Enumeration Date | 2014-08-28 |
| Last Update Date | 2014-08-28 |
| Authorized Official Name | MR. VICTOR ELOKAN NDANDO-NGOO (FOUNDER/CEO) |
| Authorized Official Telephone | 7132928739 |
| Authorized Official Credential | M.A. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QD0000X |
Clinic/Center Specialization: Dental |
LA | Ambulatory Health Care Facilities | |
| N | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
LA | Ambulatory Health Care Facilities | |
| N | 261QP2300X |
Clinic/Center Specialization: Primary Care |
LA | Ambulatory Health Care Facilities | |
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
LA | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Jefferson Davis Rural Clinic | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386021962 | Transafrican Development, Inc. | Community/Behavioral Health | 1120 E Highway 90a, Richmond, TX 77406-4018 | 2015-05-02 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | TRANSAFRICAN DEVELOPMENT, INC. | 13703 Hudson Ct, Sugar Land, TX 77498-6318 |
| Street Address |
308 PALMER ST |
| City | WELSH |
| State | LA |
| Zip Code | 70591-4320 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356377097 | Welsh Family Practice Clinic | Nurse Practitioner | 308 Palmer St, Welsh, LA 70591-4320 | 2006-06-24 |
| 1033432430 | Harold Wayne Bertrand | Nurse Practitioner | 308 Palmer St, Welsh, LA 70591-4320 | 2010-03-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902868649 | Mark G Petry | Dentist | 219 S Adams Street, Welsh, LA 70591 | 2006-04-06 |
| 1689231771 | Jaquetta Celestine | Licensed Vocational Nurse | 209 W Rowson St, Welsh, LA 70591-3551 | 2019-05-23 |
| 1861424293 | Young Hee Kang | Family Medicine | 107 S Elms St, Welsh, LA 70591-4211 | 2006-07-07 |
| 1508071077 | Ralph Gerald Osborn | Pharmacist | 110 W South St, Welsh, LA 70591-4246 | 2007-05-10 |
| 1881692218 | Yvonne H. Krielow | Nurse Practitioner | 708 E Russell Ave, Welsh, LA 70591-4844 | 2005-07-11 |
| 1235305962 | The Clinic of Welsh | Nurse Practitioner | 708 E Russell Ave, Welsh, LA 70591-4844 | 2008-05-02 |
| 1811434889 | Church Point Drug Inc | Pharmacy | 514 E Russell Ave, Welsh, LA 70591-4848 | 2017-01-27 |
| 1700903069 | Simon Drugs, Inc. | Public Health or Welfare | 514 E Russell, Welsh, LA 70591-4848 | 2007-03-23 |
| 1588745335 | Golden Age of Welsh, L.L.C. | Nursing Facility/Intermediate Care Facility | 410 S Simmons St, Welsh, LA 70591-5028 | 2006-10-18 |
| 1538783642 | Patrick Guillory | Case Manager/Care Coordinator | 127 Keys Rd, Welsh, LA 70591-5422 | 2020-06-04 |
| Find all providers in zip 70591 | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.