Geraldine Enterprises, Inc.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

GERALDINE ENTERPRISES, INC.

Practice address

3200 Stephanie St
Houma, LA 70363-3730

Phone

(985) 868-1016

NPI assigned

Apr 18, 2007

Last updated

Aug 22, 2020By 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

Ms. Geraldine P Bonvillain

Title

President

Phone

(985) 868-1016

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• dba Magic Footsteps Other name

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

{
    "created_epoch": "1176854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1174749899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3200 STEPHANIE ST",
            "city": "HOUMA",
            "state": "LA",
            "postal_code": "703633730",
            "telephone_number": "985-868-1016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3200 STEPHANIE ST",
            "city": "HOUMA",
            "state": "LA",
            "postal_code": "703633730",
            "telephone_number": "985-868-1016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GERALDINE ENTERPRISES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BONVILLAIN",
        "authorized_official_first_name": "GERALDINE",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "985-868-1016",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1135372",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "dba Magic Footsteps",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Gentile Properties, LLC
• Charon Emily Gentile, M.D.
• Kristen Authement Gentry
• Baili George
• Dana Lynn George, LCSW
• Dianne Elizabeth Gerardi, DPT
• Christin Cathia Gethers, MD
• Elizabeth Gheisari, M.D
• Katie Pitre Gibbens, LCSW
• Amanda Marie Gibson, RD, LDN

• Durable Medical Equipment & Medical Supplies in Houma, LA
• Providers in Houma, LA by specialty
• Durable Medical Equipment & Medical Supplies 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.