NPIMap

Organization Active NPI

Viemed Clinical Services, LLC

  • Clinical Social Worker
  • Lafayette, LA
National Provider Identifier
1235759275
Registry record updated Apr 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
VIEMED CLINICAL SERVICES, LLC
Practice address
625 E Kaliste Saloom Rd Ste 400-N
Lafayette, LA 70508-2540
Phone
(337) 504-3802
Fax
(337) 504-4409
NPI assigned
Apr 20, 2020
Last updated
Apr 19, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
VIEMED INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 19, 2024

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

Authorized official

Name
Ryan Garrett Sullivan
Title
Executive Vice President
Phone
(337) 255-7438

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X NU Primary
In Home Supportive Care Agency 253Z00000X NU
Sleep Medicine (Internal Medicine) Physician 207RS0012X NU
Case Manager/Care Coordinator 171M00000X NU

Addresses

Primary practice location

625 E Kaliste Saloom Rd Ste 400-N
Lafayette, LA 70508-2540

Mailing address

625 E Kaliste Saloom Rd Ste 400-N
Lafayette, LA 70508-2540
Phone (833) 452-0220

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20201221002172 LA Part B Supplier - Clinic/Group Practice 9830501543 Receives reassigned benefits from 1 practitioner
Practice locations: Lafayette, LA

Other NPIs with the same Medicare PAC ID 4

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

National Provider Directory

National Provider Directory

Locations

625 E Kaliste Saloom Rd
Ste 300N
Lafayette, LA 70508

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1587340800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713484800000",
    "number": "1235759275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 E KALISTE SALOOM RD STE 400-N",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705082540",
            "telephone_number": "833-452-0220",
            "fax_number": "800-398-9547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 E KALISTE SALOOM RD STE 400-N",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705082540",
            "telephone_number": "337-504-3802",
            "fax_number": "337-504-4409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIEMED CLINICAL SERVICES, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "VIEMED INC",
        "enumeration_date": "2020-04-20",
        "last_updated": "2024-04-19",
        "certification_date": "2024-04-19",
        "status": "A",
        "authorized_official_last_name": "SULLIVAN",
        "authorized_official_first_name": "RYAN",
        "authorized_official_middle_name": "GARRETT",
        "authorized_official_title_or_position": "EXECUTIVE VICE PRESIDENT",
        "authorized_official_telephone_number": "337-255-7438"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207RS0012X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.