PELICAN HEALTHCARE SYSTEM LLC (NPI# 1396189247) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396189247 |
| Entity Type | Organization |
| Organization Name | PELICAN HEALTHCARE SYSTEM LLC |
| Other Organization Name | NDANDO HOUSE |
| Practice Address |
152 Old Sawmill Road Kinder LA 70648 |
| Mailing Address |
P.o. Box 1015 Lake Charles LA 70602 |
| Practice Telephone | 7132928739 |
| Mailing Telephone | 7132928739 |
| Enumeration Date | 2013-04-22 |
| Last Update Date | 2014-03-29 |
| Authorized Official Name | MR. VICTOR ELOKAN NDANDO-NGOO (ADMINISTRATOR) |
| Authorized Official Telephone | 7132928739 |
| Authorized Official Credential | M.A. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QR1300X |
Clinic/Center Specialization: Rural Health |
Ambulatory Health Care Facilities | ||
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| Other Name | Type Code |
|---|---|
| Ndando House | Doing Business As Name - Organization |
| Street Address |
152 OLD SAWMILL ROAD |
| City | KINDER |
| State | LA |
| Zip Code | 70648 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477175610 | Lindsey R Landry | Speech-Language Pathologist | 13938 Us-165, Kinder, LA 70648 | 2020-05-11 |
| 1548823370 | Pbm Solutions Coushatta LLC | Pharmacy | 287 Panther Trail Dr, Kinder, LA 70648 | 2019-04-17 |
| 1851667497 | Bayou Chirocare | Chiropractor | 107 1st Ave., Kinder, LA 70648 | 2012-03-28 |
| 1861725913 | Walgreen Co. | Durable Medical Equipment & Medical Supplies | 287 Panther Trail, Kinder, LA 70648 | 2009-09-08 |
| 1285873497 | Laci Smalley | Dietitian, Registered | 287 Panther Trail Drive, Kinder, LA 70648 | 2009-02-11 |
| 1528284676 | Kinder Eye Care | Optometrist | 442 N 9th St, #2, Kinder, LA 70648 | 2007-04-17 |
| 1225251432 | Allen Parish Hosptial Rural Health Clinic | Family Medicine | 108 6th Ave., Kinder, LA 70648 | 2007-04-10 |
| 1245356849 | Gene Michael Karam | Dentist | 323 N 8th Street, Kinder, LA 70648 | 2007-03-22 |
| 1760520449 | Neck and Back Clinic of Kinder Inc | Chiropractor | 107 1st Ave, Kinder, LA 70648 | 2007-02-02 |
| 1629132543 | Healthworks Med Group of Louisiana | Family Medicine | 121 Turkey Lane, Kinder, LA 70648 | 2006-12-22 |
| Find all providers in zip 70648 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831798826 | Shawna Janell Williams | Community/Behavioral Health | 3213 Moss Ln, Violet, LA 70092-3725 | 2020-10-20 |
| 1295333649 | Wanda Kaye's Heart | Community/Behavioral Health | 139b James Comeaux Rd # 563, Lafayette, LA 70508-3255 | 2020-10-16 |
| 1679180905 | Hope Springs Counseling Center, LLC | Community/Behavioral Health | 3800 Viking Dr, Bossier City, LA 71111-7403 | 2020-09-30 |
| 1841807930 | Prospec Coaching and Consulting, L3c | Community/Behavioral Health | 345 Prospect Rd, Florien, LA 71429-4615 | 2020-09-23 |
| 1417563370 | Southern Louisiana Behavior Consultants LLC | Community/Behavioral Health | 100 Harton Rd, Youngsville, LA 70592-6386 | 2020-09-16 |
| 1700491420 | The Kidz Coalition | Community/Behavioral Health | 3832 Jamie Lynn Dr, Marrero, LA 70072-6006 | 2020-09-10 |
| 1467064790 | Horizon Network LLC | Community/Behavioral Health | 921 Lobdell Blvd Suite D, Baton Rouge, LA 70806 | 2020-08-18 |
| 1457961872 | Robin's Sanctuary for Psychological Wellness | Community/Behavioral Health | 309 Goode St Ste 2c-2, Houma, LA 70360-4562 | 2020-08-01 |
| 1992314082 | Brighter Perspectives Behavioral Services | Community/Behavioral Health | 4942 Gawain Dr, New Orleans, LA 70127-3224 | 2020-07-24 |
| 1619585122 | Cf Counseling & Consulting, LLC | Community/Behavioral Health | 1500 N 19th St, Monroe, LA 71201-4942 | 2020-07-21 |
| Find all providers with the same taxonomy | ||||
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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.