Organization Active NPI

Bedside Homecare, LLC

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Lafayette, LA
National Provider Identifier
1003146028
Registry record updated Mar 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X
License
15258 Issued in LA
Legal business name
BEDSIDE HOMECARE, LLC
Practice address
2900 Moss St Ste B
Lafayette, LA 70501-1268
Phone
(337) 269-5885
Fax
(337) 269-5884
NPI assigned
Jan 14, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Norlet Taylor Pierre, LPN
Title
Administrator/Owner
Phone
(337) 269-5885

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X 15258 LA Primary

Addresses

Primary practice location

2900 Moss St Ste B
Lafayette, LA 70501-1268

Mailing address

2900 Moss St Ste B
Lafayette, LA 70501-1268
Phone (337) 269-5885

Other identifiers 1

IdentifierTypeStateIssuer
15258MedicaidLA

National Provider Directory

National Provider Directory
Tax ID family
Bedside Homecare LLC6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1263427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1425945600000",
    "number": "1003146028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2900 MOSS ST STE B",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705011268",
            "telephone_number": "337-269-5885",
            "fax_number": "337-269-5884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 MOSS ST STE B",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705011268",
            "telephone_number": "337-269-5885",
            "fax_number": "337-269-5884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEDSIDE HOMECARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-14",
        "last_updated": "2015-03-10",
        "status": "A",
        "authorized_official_last_name": "PIERRE",
        "authorized_official_first_name": "NORLET",
        "authorized_official_middle_name": "TAYLOR",
        "authorized_official_title_or_position": "ADMINISTRATOR/OWNER",
        "authorized_official_telephone_number": "337-269-5885",
        "authorized_official_credential": "LPN"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "LA",
            "license": "15258",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "15258",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.