THIBODAUX PDHC, LLC (NPI# 1629474192) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629474192 |
| Entity Type | Organization |
| Organization Name | THIBODAUX PDHC, LLC |
| Other Organization Name | THIBODAUX PEDIATRIC DAY HEALTH CARE |
| Practice Address |
124 Sucre Ln Thibodaux LA 70301-4214 |
| Practice Telephone | 9854461541 |
| Practice Fax Number | 9854463864 |
| Mailing Telephone | 9854461541 |
| Mailing Fax Number | 9854463864 |
| Enumeration Date | 2014-11-11 |
| Last Update Date | 2017-02-21 |
| Authorized Official Name | MARY AMANDA WILLIAMSON (OWNER) |
| Authorized Official Telephone | 9854461541 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM3000X |
Clinic/Center Specialization: Medically Fragile Intants and Children Day Care |
2203782237 | LA | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Thibodaux Pediatric Day Health Care | Doing Business As Name - Organization |
| Street Address |
124 SUCRE LN |
| City | THIBODAUX |
| State | LA |
| Zip Code | 70301-4214 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225539620 | Micah Aaron Callais | Nurse Practitioner | 604 N. Acadia Road, Suite 200, Thibodaux, LA 70301 | 2018-02-22 |
| 1982112348 | Katie Leblanc | Massage Therapist | 1115 St. Mary Street, Thibodaux, LA 70301 | 2018-01-18 |
| 1154837391 | Texas Digestive Disease Consultants, Pllc | Internal Medicine | 764 North Acadia Road, Suite A, Thibodaux, LA 70301 | 2017-12-26 |
| 1235648239 | Speech and Feeding Therapy, LLC | Speech-Language Pathologist | 1000 Plantation Rd Ste 1a, Thibodaux, LA 70301 | 2017-09-22 |
| 1285150466 | Tara Payne | Counselor | 303 Hickory Street, Thibodaux, LA 70301 | 2017-08-18 |
| 1427583475 | Tyler Pettigrew | Counselor | 300 Plantation Rd., Apt #24, Thibodaux, LA 70301 | 2017-04-27 |
| 1750825758 | Jessica Barquet | Counselor | 110 Palm Villa Dr Apt 1, Thibodaux, LA 70301 | 2016-12-09 |
| 1013468230 | Shenee Haas Gros | Counselor | 504 Cherry St., Thibodaux, LA 70301 | 2016-10-24 |
| 1982155388 | Southern Ent Associates Inc | Audiologist | 604 North Acadia Road Suite 101, Thibodaux, LA 70301 | 2016-10-20 |
| 1215483888 | Lesheeca Norman, Lpc | Counselor | 306 Victoria Court, Thibodaux, LA 70301 | 2016-09-01 |
| Find all providers in zip 70301 | ||||
| Taxonomy Code | 261QM3000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Medically Fragile Intants and Children Day Care |
| 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.). |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174120612 | Pediatrust Acadiana, LLC | Clinic/Center | 331 Doucet Rd, Lafayette, LA 70503-3447 | 2020-10-07 |
| 1194120063 | Pediatria Healthcare, LLC | Clinic/Center | 6459 Riverside Dr, Metairie, LA 70003-3206 | 2014-11-04 |
| 1457753808 | Prescribed Pediatric Extended Center Inc | Clinic/Center | 2644 N Causeway Blvd, Suite 100, Metairie, LA 70002-6055 | 2014-09-17 |
| 1265844013 | Prescribed Pediatric Extended Care, Inc | Clinic/Center | 5505 Jackson St, Alexandria, LA 71303-2324 | 2014-05-28 |
| 1467883181 | Caring Hands Pediatric Day Health Center, LLC | Clinic/Center | 1009 Professional Dr W, Shreveport, LA 71105-5624 | 2013-12-05 |
| 1568896561 | Lauve's Pdhc, LLC | Clinic/Center | 2000 E Texas St, Bossier City, LA 71111-3830 | 2013-08-26 |
| 1619300506 | Prescribed Pediatric Extended Care, Inc | Clinic/Center | 2570 Sw Railroad Ave, Hammond, LA 70403-1514 | 2013-08-14 |
| 1598029092 | In Loving Arms, LLC | Clinic/Center | 6637 N Foster Dr, Baton Rouge, LA 70811-6164 | 2012-06-28 |
| 1093172058 | Pelican Pediatric Day Health Care Center, LLC | Clinic/Center | 400 Martin Luther King Jr Dr, Suite F, Natchitoches, LA 71457-4056 | 2016-01-21 |
| 1922409069 | Pediatria Healthcare, LLC | Clinic/Center | 385 Bert Kouns Industrial Loop, Suite 600, Shreveport, LA 71106-8158 | 2014-09-09 |
| 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.