Pelican Healthcare System LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

PELICAN HEALTHCARE SYSTEM LLC

Doing business as

Ndando House

Practice address

152 Old Sawmill Road
Kinder, LA 70648

Phone

(713) 292-8739

NPI assigned

Apr 22, 2013

Last updated

Mar 29, 2014By 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

Mr. Victor Elokan Ndando-Ngoo, M.A.

Title

Administrator

Phone

(713) 292-8739

Specialties & licenses 2

Addresses

Other names 1

• Ndando House Doing business as

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

{
    "created_epoch": "1366588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1396051200000",
    "number": "1396189247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 1015",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "70602",
            "telephone_number": "713-292-8739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "152 OLD SAWMILL ROAD",
            "city": "KINDER",
            "state": "LA",
            "postal_code": "70648",
            "telephone_number": "713-292-8739"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PELICAN HEALTHCARE SYSTEM LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-22",
        "last_updated": "2014-03-29",
        "status": "A",
        "authorized_official_last_name": "NDANDO-NGOO",
        "authorized_official_first_name": "VICTOR",
        "authorized_official_middle_name": "ELOKAN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "713-292-8739",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.A."
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ndando House",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Medicenter Inc (Coushatta Family Pharmacy)
• National Birth Centers Inc
• Neck and Back Clinic of Kinder Inc
• Ochsner Clinic LLC (Ochsner CHRISTUS Health Center - Kinder)
• PBM Solutions Coushatta LLC (Coushatta Family Pharmacy)
• Emily D Pelican, MS,CCC-SLP
• Brittany Kelly Pitre, FNP-C
• Premise Health of Louisanna, Professional Medical Corporation (Coushatta Family Medical Center)
• Private Healthcare Facilities
• Charla Stagg Reid, APRN PNP

• Community/Behavioral Health Agency in Kinder, LA
• Providers in Kinder, LA by specialty
• Community/Behavioral Health Agency in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2014; 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.