NPIMap

Organization Active NPI

Welliness & Longevity Center

  • Specialist
  • Lafayette, LA
National Provider Identifier
1316070170
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
8215 Issued in LA
Legal business name
WELLINESS & LONGEVITY CENTER
Practice address
211 E Kaliste Saloom Rd
Lafayette, LA 70508-3238
Phone
(337) 235-1166
Fax
(337) 235-1168
NPI assigned
Mar 13, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Randy Laukhuff
Title
Owner
Phone
(337) 235-1166

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X 8215 LA Primary

Addresses

Primary practice location

211 E Kaliste Saloom Rd
Lafayette, LA 70508-3238

Mailing address

211 E Kaliste Saloom Rd
Lafayette, LA 70508-3238
Phone (337) 235-1166

National Provider Directory

National Provider Directory

Locations

211 E Kaliste Saloom Rd
Lafayette, LA 70508
Phone (337) 235-1166

Practitioners & affiliated clinicians

Practitioners 1

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": "1173744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1316070170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 E KALISTE SALOOM RD",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705083238",
            "telephone_number": "337-235-1166",
            "fax_number": "337-235-1168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 E KALISTE SALOOM RD",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705083238",
            "telephone_number": "337-235-1166",
            "fax_number": "337-235-1168"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLINESS & LONGEVITY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LAUKHUFF",
        "authorized_official_first_name": "RANDY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "337-235-1166"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "LA",
            "license": "8215",
            "primary": true
        }
    ],
    "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 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.