Baker Wellness Center Adhc

Primary specialty

Custodial Care FacilityTaxonomy code 311Z00000X

License

2020 Issued in LA

Legal business name

BAKER WELLNESS CENTER ADHC

Practice address

2402 Main Street
Baker, LA 70714

Phone

(225) 778-1567

Fax

(225) 771-1520

NPI assigned

Oct 2, 2006

Organization subpart

No

Name

Dr. Rodolfo M Manalac, M.D.

Title

Owner/President

Phone

(225) 778-1567

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 22, 2020.

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1114010667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 668",
            "city": "BAKER",
            "state": "LA",
            "postal_code": "70704",
            "telephone_number": "225-778-1567",
            "fax_number": "225-771-1520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2402 MAIN STREET",
            "city": "BAKER",
            "state": "LA",
            "postal_code": "70714",
            "telephone_number": "225-778-1567",
            "fax_number": "225-771-1520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAKER WELLNESS CENTER ADHC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MANALAC",
        "authorized_official_first_name": "RODOLFO",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "225-778-1567",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "311Z00000X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility",
            "state": "LA",
            "license": "2020",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1643360",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Ashley Michelle Biagas

• All providers in Baker, LA
• Custodial Care Facility in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.