Pelican Pediatric Day Health Care Center, LLC

Primary specialty

Medically Fragile Infants and Children Day CareTaxonomy code 261QM3000X

Legal business name

PELICAN PEDIATRIC DAY HEALTH CARE CENTER, LLC

Doing business as

Pelican Pediatric Day Health Care Center

Practice address

400 Martin Luther King Jr Dr
Suite F
Natchitoches, LA 71457-4056

Phone

(318) 238-3880

NPI assigned

Jan 21, 2016

Last updated

Mar 28, 2017By 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

Mrs. Melissa Hall, R.N.

Title

Owner/Coo

Phone

(318) 238-3880

Specialties & licenses 1

Addresses

Other names 1

• Pelican Pediatric Day Health Care Center Doing business as

Locations

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

{
    "created_epoch": "1453334400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490659200000",
    "number": "1093172058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 COMANCHE TRL",
            "city": "WEST MONROE",
            "state": "LA",
            "postal_code": "712918106",
            "telephone_number": "318-372-9023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 MARTIN LUTHER KING JR DR",
            "address_2": "SUITE F",
            "city": "NATCHITOCHES",
            "state": "LA",
            "postal_code": "714574056",
            "telephone_number": "318-238-3880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PELICAN PEDIATRIC DAY HEALTH CARE CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-21",
        "last_updated": "2017-03-28",
        "status": "A",
        "authorized_official_last_name": "HALL",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_title_or_position": "OWNER/COO",
        "authorized_official_telephone_number": "318-238-3880",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "R.N."
    },
    "taxonomies": [
        {
            "code": "261QM3000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medically Fragile Infants and Children Day Care",
            "state": "LA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pelican Pediatric Day Health Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Andrell Jene Riley Parrett, FNP-C
• Levi S Paul, BSW
• Demarius Payne, DSW, LCSW
• Peaceful Transportation Services LLC
• Kirby Smith Peddy, LCSW
• Jessica R. Peluso, PA-C
• Tana Penrod, NP
• Kenneth L Perego, MD
• Jamie Perez, DC
• Gerra Perkins, PHD, LPC-S, RPT, NCC

• Medically Fragile Infants and Children Day Care in Natchitoches, LA
• Providers in Natchitoches, 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 Mar 28, 2017; 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.