Bastrop Pediatric Day Health Center, LLC

Primary specialty

Medically Fragile Infants and Children Day CareTaxonomy code 261QM3000X

Legal business name

BASTROP PEDIATRIC DAY HEALTH CENTER, LLC

Practice address

205 Hall St
Bastrop, LA 71220-4602

Phone

(318) 281-8009

Fax

(318) 281-2937

NPI assigned

Apr 16, 2013

Last updated

Oct 7, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Suzanne Smith, RN

Title

Administrator/Don

Phone

(318) 355-3204

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1366070400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728259200000",
    "number": "1033552385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 HALL ST",
            "city": "BASTROP",
            "state": "LA",
            "postal_code": "712204602",
            "telephone_number": "318-281-8009",
            "fax_number": "318-281-2937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 HALL ST",
            "city": "BASTROP",
            "state": "LA",
            "postal_code": "712204602",
            "telephone_number": "318-281-8009",
            "fax_number": "318-281-2937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BASTROP PEDIATRIC DAY HEALTH CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-16",
        "last_updated": "2024-10-07",
        "certification_date": "2024-10-07",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "SUZANNE",
        "authorized_official_title_or_position": "ADMINISTRATOR/DON",
        "authorized_official_telephone_number": "318-355-3204",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "261QM3000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medically Fragile Infants and Children Day Care",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shundarrius Lamon Ballard
• Tatyana Barnes-Davis
• Leslye Sherrill Barnes, OT
• Jessica Nicole Bass
• Bastrop Chiropractic Spine & Injury Center
• Bayou Home Bureau
• Bayou Home Bureau Corp
• Bayou Home Bureau Corporation
• Bayou II
• Bayou Roadrunners

• Medically Fragile Infants and Children Day Care in Bastrop, LA
• Providers in Bastrop, LA by specialty
• Medically Fragile Infants and Children Day Care in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2024; 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.