Organization Active NPI

Pacer Health Management Corporation

Doing business as Calcasieu Oaks

  • Psychiatric Hospital
  • Lake Charles, LA
National Provider Identifier
1053451872
Registry record updated Feb 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric HospitalTaxonomy code 283Q00000X
License
534 Issued in LA
Legal business name
PACER HEALTH MANAGEMENT CORPORATION
Doing business as
Calcasieu Oaks
Practice address
2837 Ernest Street
Lake Charles, LA 70601-8408
Phone
(337) 542-4111
Fax
(337) 542-4110
NPI assigned
Feb 8, 2007
Organization subpart
Yes
Parent organization
PACER HEALTH MANAGEMENT CORPORATIONAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 7, 2011

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

Authorized official

Name
Mr. Ray L Shoemaker
Title
Ceo
Phone
(662) 840-0196

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Hospital 283Q00000X 534 LA Primary

Addresses

Primary practice location

2837 Ernest Street
Lake Charles, LA 70601-8408

Mailing address

5360 West Creole Hwy
Cameron, LA 70631-5127
Phone (337) 542-4111

Other identifiers 1

IdentifierTypeStateIssuer
1705560MedicaidLA

Other names 1

  • Calcasieu Oaks Doing business as

National Provider Directory

National Provider Directory
Part of
Pacer Health Management Corporation

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1170892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1297036800000",
    "number": "1053451872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5360 WEST CREOLE HWY",
            "city": "CAMERON",
            "state": "LA",
            "postal_code": "706315127",
            "telephone_number": "337-542-4111",
            "fax_number": "337-542-4110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2837 ERNEST STREET",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706018408",
            "telephone_number": "337-542-4111",
            "fax_number": "337-542-4110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACER HEALTH MANAGEMENT CORPORATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PACER HEALTH MANAGEMENT CORPORATION",
        "enumeration_date": "2007-02-08",
        "last_updated": "2011-02-07",
        "status": "A",
        "authorized_official_last_name": "SHOEMAKER",
        "authorized_official_first_name": "RAY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "662-840-0196",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "283Q00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Hospital",
            "state": "LA",
            "license": "534",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1705560",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Calcasieu Oaks",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lake Charles, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2011; 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.