Life Coast Community Health Center Inc

Primary specialty

Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X

Legal business name

LIFE COAST COMMUNITY HEALTH CENTER INC

Practice address

605 Enterprise Dr Ste C
Houma, LA 70360-5405

Phone

(985) 360-3755

Fax

(985) 879-4580

NPI assigned

Dec 5, 2022

Last updated

Sep 18, 2025By the provider in NPPES

Organization subpart

Yes

Parent organization

LIFE COAST COMMUNITY HEALTH CENTER INCAs reported in NPPES

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

Authorized official

Name

Diane Webre

Title

Clinic Manager

Phone

(985) 492-6170

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1053021667. Details of each certification follow.

• CCN 191111 Federally qualified health center · Active · Details

Federally qualified health center certification: CCN 191111

Legal name

LIFE COAST COMMUNITY HEALTH CENTER INC

Certification status

Active

Provider type (POS)

Federally qualified health center

Participating since

Sep 28, 2022

Last certification

Sep 28, 2022

Ownership / control type

For profit – corporation

Organization structure

CorporationNon-profit

Incorporated

Sep 19, 2019 in LA

Enrollment address

605 Enterprise Dr
Ste C
Houma, LA 70360-5405

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Life Coast Community Health Center Inc

  • Internal Medicine Physician
  • Thibodaux, LA
  • NPI 1073157970

  3870929193

  Same PAC ID
• Life Coast Community Health Center Inc

  • Federally Qualified Health Center (FQHC)
  • Thibodaux, LA
  • NPI 1962113084

  3870929193

  Same PAC ID

Tax ID family

Life Coast Community Health6 organizations share this tax ID, including this one

Part of

Life Coast Community Health

Other organizations with this tax ID 5

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

• Life Coast Community Health Center Inc

  • Federally Qualified Health Center (FQHC)
  • New Iberia, LA
  • NPI 1033032800
  NPD tax ID
• Life Coast Community Health Center Inc

  • Internal Medicine Physician
  • Thibodaux, LA
  • NPI 1073157970
  NPD tax ID
• Life Coast Community Health Center Inc

  • Federally Qualified Health Center (FQHC)
  • Morgan City, LA
  • NPI 1942908389
  NPD tax ID
• Life Coast Community Health Center Inc

  • Federally Qualified Health Center (FQHC)
  • Thibodaux, LA
  • NPI 1962113084
  NPD tax ID
• Life Coast Community Health Center Inc

  • Pharmacy
  • Houma, LA
  • NPI 1962288043
  NPD tax ID

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/HDCJBD

All disclosed owners & managing parties 15

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Owners & managing parties with NPI records 3

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

• Charles Henry Faucheux, MD

  • Obstetrics & Gynecology Physician
  • Raceland, LA
  • NPI 1750304747

  W-2 Managing Employee

  CMS ownership
• Life Coast Community Health Center Inc

  • Internal Medicine Physician
  • Thibodaux, LA
  • NPI 1073157970

  Other

  CMS ownership
• Life Coast Community Health Center Inc

  • Federally Qualified Health Center (FQHC)
  • Thibodaux, LA
  • NPI 1962113084

  Other

  CMS ownership

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Life Coast Community Health Center Inc

  • Federally Qualified Health Center (FQHC)
  • Thibodaux, LA
  • NPI 1962113084

  Other

  CMS ownership

Practitioners 1

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.

• Sheena Duplantis, M.D.

  • Obstetrics & Gynecology Physician
  • Houma, LA
  • NPI 1205155298
  NPD (past)

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

{
    "created_epoch": "1670198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758153600000",
    "number": "1053021667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "504 N ACADIA RD",
            "city": "THIBODAUX",
            "state": "LA",
            "postal_code": "703014862",
            "telephone_number": "985-492-6170",
            "fax_number": "985-492-6177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "605 ENTERPRISE DR STE C",
            "city": "HOUMA",
            "state": "LA",
            "postal_code": "703605405",
            "telephone_number": "985-360-3755",
            "fax_number": "985-879-4580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE COAST COMMUNITY HEALTH CENTER INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LIFE COAST COMMUNITY HEALTH CENTER INC",
        "enumeration_date": "2022-12-05",
        "last_updated": "2025-09-18",
        "certification_date": "2025-09-18",
        "status": "A",
        "authorized_official_last_name": "WEBRE",
        "authorized_official_first_name": "DIANE",
        "authorized_official_title_or_position": "CLINIC MANAGER",
        "authorized_official_telephone_number": "985-492-6170"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Francis E Lewis, MD
• Francis Elliot Lewis I, CRN
• Reeve Lewis III, RAC, PSS
• Sonia Renee Lewis
• Teamaya Reshawn Lewis
• Life Coast Community Health Center Inc
• Lifted by Love
• Randall Kenneth Lillich, MD
• Stephen C Lim, M.D.
• Angelo Ocampo Limcangco, BS

• Federally Qualified Health Center (FQHC) in Houma, LA
• Providers in Houma, LA by specialty
• Federally Qualified Health Center (FQHC) in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.