Active NPI
Broom Investments
- Clinic/Center
- Thibodaux, LA
National Provider Identifier
1285316067
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- Legal business name
- BROOM INVESTMENTS
- Practice address
- 402 Thoroughbred Park Dr
Thibodaux, LA 70301-6151 - Phone
- (985) 859-1111
- NPI assigned
- Aug 2, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Lashonda Broom, RN
- Title
- Ceo/Program Manager
- Phone
- (985) 859-1111
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | Primary |
Addresses
Primary practice location
402 Thoroughbred Park Dr
Thibodaux, LA 70301-6151
Mailing address
263 Morristown Rd
Raceland, LA 70394-3130
Phone (985) 859-1111
Other names 1
- D4N Consulting
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1690934400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1690934400000",
"number": "1285316067",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "263 MORRISTOWN RD",
"city": "RACELAND",
"state": "LA",
"postal_code": "703943130",
"telephone_number": "985-859-1111"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "402 THOROUGHBRED PARK DR",
"city": "THIBODAUX",
"state": "LA",
"postal_code": "703016151",
"telephone_number": "985-859-1111"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BROOM INVESTMENTS",
"organizational_subpart": "NO",
"enumeration_date": "2023-08-02",
"last_updated": "2023-08-02",
"certification_date": "2023-08-02",
"status": "A",
"authorized_official_last_name": "BROOM",
"authorized_official_first_name": "LASHONDA",
"authorized_official_title_or_position": "CEO/PROGRAM MANAGER",
"authorized_official_telephone_number": "985-859-1111",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "RN"
},
"taxonomies": [
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "D4N Consulting",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Thibodaux, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.