Healthy Living Family Care Center Baton Rouge

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

MD205405 Issued in LA

Legal business name

HEALTHY LIVING FAMILY CARE CENTER BATON ROUGE

Practice address

4962 Florida Blvd
Baton Rouge, LA 70806-4031

Phone

(225) 663-2445

NPI assigned

Sep 9, 2015

Last updated

Mar 22, 2016By 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

Gardy Valentin, M.D.

Title

Medical Doctor

Phone

(973) 687-7832

Specialties & licenses 1

Addresses

Other identifiers 3

Locations

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

{
    "created_epoch": "1441756800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1458604800000",
    "number": "1386012169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4962 FLORIDA BLVD",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708064031",
            "telephone_number": "225-663-2445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4962 FLORIDA BLVD",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708064031",
            "telephone_number": "225-663-2445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHY LIVING FAMILY CARE CENTER BATON ROUGE",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-09",
        "last_updated": "2016-03-22",
        "status": "A",
        "authorized_official_last_name": "VALENTIN",
        "authorized_official_first_name": "GARDY",
        "authorized_official_title_or_position": "MEDICAL DOCTOR",
        "authorized_official_telephone_number": "973-687-7832",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "LA",
            "license": "MD205405",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2195859",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2410733",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2368176",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Healthremede, LLC
• Healthremede, LLC
• Healthstat on-Site Clinic/Ebrso
• Healthvac LLC
• Healthvac LLC
• Healthy Minds Behavorial Health LLC
• Healthy Progressions, LLC
• Healthy Shuttle LLC
• Holger C Heap, LPC
• Catherine Minch Heard, PHD, BCBA-D

• Primary Care Clinic/Center in Baton Rouge, LA
• Providers in Baton Rouge, LA by specialty
• Primary Care Clinic/Center in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2016; 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.