WELLBOUND OF LAFAYETTE LLC (NPI# 1972520997) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972520997 |
| Entity Type | Organization |
| Organization Name | WELLBOUND OF LAFAYETTE LLC |
| Other Organization Name | WELLBOUND OF LAFAYETTE |
| Practice Address |
2 Executive Dr Suite B Lafayette IN 47905-4878 |
| Mailing Address |
300 Santana Row Suite 300 San Jose CA 95128-2423 |
| Practice Telephone | 7654461627 |
| Practice Fax Number | 7654499475 |
| Mailing Telephone | 7654461627 |
| Mailing Fax Number | 6506256007 |
| Enumeration Date | 2006-07-16 |
| Last Update Date | 2016-12-29 |
| Authorized Official Name | SUSAN L DEL BENE (SECRETARY/CFO) |
| Authorized Official Telephone | 6504043618 |
| Is Organization Subpart | Y |
| Parent Organization Name | WELLBOUND LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QE0700X |
Clinic/Center Specialization: End-Stage Renal Disease (ESRD) Treatment |
IN | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 200843920A | 05 |
| Other Name | Type Code |
|---|---|
| WellBound of Lafayette | Doing Business As Name - Organization |
| Street Address |
2 EXECUTIVE DR SUITE B |
| City | LAFAYETTE |
| State | IN |
| Zip Code | 47905-4878 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982213245 | Chul Ho Yang | Dentist | 2 Executive Dr, Lafayette, IN 47905-4878 | 2020-07-23 |
| 1669025441 | Karthika Basireddy | Dentist | 2 Executive Dr, Lafayette, IN 47905-4878 | 2019-07-19 |
| 1801317573 | Virajitha Velichala | Dentist | 2 Executive Dr, Lafayette, IN 47905-4878 | 2017-07-03 |
| 1487026431 | Lakewood Family Dental of Lafayette Inc | Dentist | 2 Executive Dr, Lafayette, IN 47905-4878 | 2015-10-28 |
| 1972685238 | Lafayette Oral and Maxillofacial Surgery Group, P.C. | Dentist | 2 Executive Dr, Suite A, Lafayette, IN 47905-4859 | 2006-10-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538719893 | Elements Counseling LLC | Social Worker | 115 N. Farabee Drive, Lafayette, IN 47905 | 2019-09-18 |
| 1134596869 | Indiana Dental Sleep Therapy LLC | Dentist | 4921 Sr 26 E, Suite 300, Lafayette, IN 47905 | 2015-08-28 |
| 1255750899 | Emily S Miller | Physical Therapist | 1701 Creasy Ln, Lafayette, IN 47905 | 2014-04-10 |
| 1073876215 | Nathan Webster | Dentist | 1530 Kossuth St., Lafayette, IN 47905 | 2012-06-22 |
| 1578848370 | Mark Jin Kim | Pharmacist | 1801 South St., Lafayette, IN 47905 | 2011-10-13 |
| 1700177185 | Shannon Tawn Harris | Speech-Language Pathologist | 8900 Cobbler Lane, Lafayette, IN 47905 | 2011-04-20 |
| 1508164484 | David Thomas Beine | Specialist/Technologist | 1321 Unity Pl Ste A, Lafayette, IN 47905 | 2011-03-02 |
| 1447569538 | Deidre Dudley | Nurse Practitioner | 1701 S Creasy Ln Ste 1w93, Lafayette, IN 47905 | 2010-10-07 |
| 1548493067 | Unity Healthcare, LLC | Podiatrist | 750 Park East Blvd, Unit 4, Lafayette, IN 47905 | 2009-09-01 |
| 1073762969 | Lynette Marie Alexander | Nurse Practitioner | 5500 St Rd. 38 East, Lafayette, IN 47905 | 2008-09-16 |
| Find all providers in zip 47905 | ||||
| Taxonomy Code | 261QE0700X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | End-Stage Renal Disease (ESRD) Treatment |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568079085 | Fresenius Medical Care Broussard, LLC | Clinic/Center | 138 Youngsville Highway, Lafayette, LA 70508-4536 | 2020-09-29 |
| 1831685882 | Total Renal Care Inc | Clinic/Center | 2 Executive Dr Ste B, Lafayette, IN 47905-4878 | 2018-07-02 |
| 1194989293 | Dialysis Clinic Inc | Clinic/Center | 301 Alcide Dominique Dr, Lafayette, LA 70506-1052 | 2008-07-17 |
| 1245320639 | Liberty Dialysis - Lafayette LLC | Clinic/Center | 1020 N 18th St, Lafayette, IN 47904-2279 | 2006-10-13 |
| 1609968254 | Greater Lafayette Health Services | Clinic/Center | 1000 North 18th Street, Lafayette, IN 47904 | 2006-09-29 |
| 1578665956 | Bio-medical Applications of Louisiana, LLC | Clinic/Center | 910 Martin Luther King Jr Dr, Lafayette, LA 70501-1856 | 2006-09-05 |
| 1174635932 | Bio-medical Applications of Alabama, Inc. | Clinic/Center | 802 Hospital St, Lafayette, AL 36862-2818 | 2006-08-31 |
| 1104856269 | Bio-medical Applications of Louisiana, LLC | Clinic/Center | 1340 Surrey St Ste 101, Lafayette, LA 70501-7647 | 2006-07-04 |
| 1649674359 | Dialysis Clinic Inc | Clinic/Center | 224 Saint Landry St, Suite 3c, Lafayette, LA 70506-3549 | 2014-10-09 |
| 1710315478 | Total Renal Care Inc | Clinic/Center | 314 Youngsville Hwy, Suite 125, Lafayette, LA 70508-4524 | 2013-10-16 |
| Find all providers in LAFAYETTE | ||||
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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.