Bayou Healthcare Services, LLC

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

BAYOU HEALTHCARE SERVICES, LLC

Practice address

108 E 11TH St.
Thibodaux, LA 70301

Phone

(985) 228-6223

NPI assigned

Oct 5, 2023

Last updated

Nov 30, 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

Brittany Trosclair Mire, APRNNPI 1093251472

Title

Owner

Phone

(985) 228-6223

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Brittany Trosclair Mire, APRN,FNP-C, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Thibodaux, LA
  • NPI 1093251472

  Family

  Medicare reassignment NPD Authorized official
• Shannan Gros

  • Mental Health Counselor
  • Thibodaux, LA
  • NPI 1841052560
  NPD
• Kelly Nuckley, APRN, FNP-C, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Metairie, LA
  • NPI 1194365114

  Family

  NPD (past)

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

{
    "created_epoch": "1696464000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732924800000",
    "number": "1033999040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "213 SAINT MARY ST",
            "address_2": "STE 218",
            "city": "THIBODAUX",
            "state": "LA",
            "postal_code": "703012634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 E 11TH ST.",
            "city": "THIBODAUX",
            "state": "LA",
            "postal_code": "70301",
            "telephone_number": "985-228-6223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAYOU HEALTHCARE SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-05",
        "last_updated": "2024-11-30",
        "certification_date": "2024-11-30",
        "status": "A",
        "authorized_official_last_name": "MIRE",
        "authorized_official_first_name": "BRITTANY",
        "authorized_official_middle_name": "TROSCLAIR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "985-228-6223",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa Melancon Bascle, MSN, APRN, FNP-C
• Delvekio Batiste, BS
• Dyrrhus Davaughn Batiste
• Natasha Baxter
• Bayou Community Academy, Inc. (Bayou Community Academy or BCA)
• Bayou Medical Staffing, LLC
• Bayou Oaks Health Ervices
• Bayou Oaks Health Services, LLC
• Bayou Oncology Specialists, LLC
• Bayou Parishes Emergency Physicians

• Multi-Specialty Clinic/Center in Thibodaux, LA
• Providers in Thibodaux, LA by specialty
• Multi-Specialty Clinic/Center in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.