PELICAN HEALTHCARE INC


Address: 3205 New Highway 51 Ste B, La Place, LA 70068-6512
Phone: 9856524136

PELICAN HEALTHCARE INC (NPI# 1518076629) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1518076629
Entity Type Organization
Organization Name PELICAN HEALTHCARE INC
Practice Address 3205 New Highway 51 Ste B
La Place
LA 70068-6512
Practice Telephone 9856524136
Practice Fax Number 9856524137
Mailing Telephone 9856524136
Mailing Fax Number 9856524137
Enumeration Date 2006-08-30
Last Update Date 2009-08-27
Authorized Official Name LETHA A HAYNES (OWNER)
Authorized Official Telephone 9856524136
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QR0401X Clinic/Center
Specialization: Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)
Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
FL 884314700 05

Office Location

Street Address 3205 NEW HIGHWAY 51 STE B
City LA PLACE
State LA
Zip Code 70068-6512

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1578079661 William Paul Gomla Pharmacist 932 Carrollwood Ave., Laplace, LA 70068 2017-12-27
1770001497 Danesha Anthony Case Manager/Care Coordinator 1820 English Colony Dr, La Place, LA 70068 2017-09-01
1679091649 Shade Shamarion Collins Counselor 51 Country Club Drove, Laplace, LA 70068 2017-08-30
1306375746 Aniya Kesean Burl Counselor 2425 Williamsburg Dr, Laplace, LA 70068 2017-06-08
1073042412 Dominique L Mcgehee Counselor 2168 Carmel Valley Drive, Laplace, LA 70068 2017-06-08
1700310901 Malchiel Smith Social Worker 3205 Us-51, Laplace, LA 70068 2017-04-13
1265965966 Shitara Sanders Counselor 3205 Highway 51, Suite C, Laplace, LA 70068 2017-04-10
1841730181 Southern Care Connection, LLC Home Health 1101 W Airline Hwy, Suite J, Laplace, LA 70068 2017-03-06
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Taxonomy Information

Taxonomy Code 261QR0401X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)

Taxonomy Definition

Definition to come...

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1083854087 Bayou Wellness Center, Inc. Clinic/Center 27403 Hwy 190, Suite B, Lacombe, LA 70445-1550 2009-03-03
1831343888 Meridian Healthcare Services, LLC Clinic/Center 3737 General Degaulle Dr, New Orleans, LA 70114-8205 2008-11-04
1902099591 Enhanced Health Treatment Comprehensive Outpatient Rehabilitation Cent Clinic/Center 8060 Crowder Blvd, Suite A, New Orleans, LA 70127-1063 2007-08-27
1104901446 Monroe Medical Management LLC Clinic/Center 8856 Youree Drive, Suite D, Shreveport, LA 71115 2006-10-26
1720027105 Riverside Rehabilitation Agency, Inc. Clinic/Center 8680 Bluebonnet Blvd, Suite D, Baton Rouge, LA 70810-7825 2006-06-04
1831187863 Impac Rehabilitation, Inc Clinic/Center 4937 Hearst Street, Suite 2-f, Metairie, LA 70001 2005-10-13
1134640196 Comprehensive Wellness Group Clinic/Center 3875 Florida Blvd, Baton Rouge, LA 70806-3840 2017-06-29
1437486552 Crescent Pulmonary Rehab, LLC Clinic/Center 4201 Woodland Dr, New Orleans, LA 70131-7339 2009-11-10
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Competitor

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City LA PLACE
Zip Code 70068

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Dataset Information

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.

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