NPIMap

Organization Active NPI

Diabetes Care Solution, LLC

Doing business as DCS Family Health Clinic

  • Rural Health Clinic/Center
  • Hammond, LA
National Provider Identifier
1245509975
Registry record updated Dec 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
DIABETES CARE SOLUTION, LLC
Doing business as
DCS Family Health Clinic
Practice address
19100 Dr John Lambert Dr
Hammond, LA 70403-0922
Phone
(985) 247-4567
Fax
(985) 467-0896
NPI assigned
Dec 27, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2016

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

Authorized official

Name
Dr. Shannon Denise Bagnet-Finley, PHARM.D., CDENPI 1992990287
Title
Owner
Phone
(985) 687-1557

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X LA
Rural Health Clinic/Center 261QR1300X LA Primary

Addresses

Primary practice location

19100 Dr John Lambert Dr
Hammond, LA 70403-0922

Mailing address

19100 Dr John Lambert Dr
Hammond, LA 70403-0922
Phone (985) 247-4567

Other identifiers 1

IdentifierTypeStateIssuer
2198157MedicaidLA

Other names 1

  • DCS Family Health Clinic Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20120709000395 LA Part B Supplier - Clinic/Group Practice 1759546260 Receives reassigned benefits from 3 practitioners
Practice locations: Hammond, LA
O20160121000884 LA Part A Provider - Rural Health Clinic 1759546260 Practice locations: Hammond, LA

Rural health clinic certification: CCN 193920

Legal name
DIABETES CARE SOLUTION, LLC
Doing business as
DCS FAMILY HEALTH CLINIC
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Oct 12, 2016
Last certification
Nov 26, 2019
Ownership / control type
1A
Organization structure
LLCProprietary
Enrollment address
19100 Dr John Lambert Dr
Hammond, LA 70403-0922

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
19D2038953DCS Family Health Clinic, LLC19100 Dr John Lambert Dr, Hammond, LA 70403Certificate of waiverMar 27, 2028

National Provider Directory

National Provider Directory

Locations

1402 S Magnolia St
Ste A
Hammond, LA 70403
Phone (985) 247-4567

19100 Dr John Lambert Dr
Hammond, LA 70403
Phone (985) 247-4567

Ownership & related parties

All disclosed owners & managing parties 1

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Shannon Bagnet-Finley Individual 5% Or Greater Direct Ownership InterestOwner Nov 30, 2011 100%
Operational/Managerial Control Feb 8, 2016 100%

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1324944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1482105600000",
    "number": "1245509975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19100 DR JOHN LAMBERT DR",
            "city": "HAMMOND",
            "state": "LA",
            "postal_code": "704030922",
            "telephone_number": "985-247-4567",
            "fax_number": "985-467-0896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19100 DR JOHN LAMBERT DR",
            "city": "HAMMOND",
            "state": "LA",
            "postal_code": "704030922",
            "telephone_number": "985-247-4567",
            "fax_number": "985-467-0896"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIABETES CARE SOLUTION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-27",
        "last_updated": "2016-12-19",
        "status": "A",
        "authorized_official_last_name": "BAGNET-FINLEY",
        "authorized_official_first_name": "SHANNON",
        "authorized_official_middle_name": "DENISE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "985-687-1557",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARM.D., CDE"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "LA",
            "license": null,
            "primary": false
        },
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "LA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2198157",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DCS Family Health Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hammond, LA

Sources for this page

Verify at the official NPI Registry.