Active NPI
Bedside Homecare, LLC
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Lafayette, LA
National Provider Identifier
1003146028
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- License
- 15258
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 15258 | Medicaid | LA |
National Provider Directory
National Provider Directory- Tax ID family
- Bedside Homecare LLC
Other organizations with this tax ID 5
Organizations that report the same tax identification number in the National Provider Directory.
-
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Lafayette, LA
- NPI 1114250255
-
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- New Orleans, LA
- NPI 1437389038
-
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Lafayette, LA
- NPI 1639327992
-
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- New Orleans, LA
- NPI 1831422468
-
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Lafayette, LA
- NPI 1740586296
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.