NPIMap

Organization Active NPI

Family Health Care and Wellness Center

  • Rural Health Clinic/Center
  • Hammond, LA
National Provider Identifier
1407128598
Registry record updated Mar 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
FAMILY HEALTH CARE AND WELLNESS CENTER
Practice address
2511 Highway 190 E
Hammond, LA 70401-8510
Phone
(985) 543-6800
Fax
(985) 543-6801
NPI assigned
Feb 3, 2012
Last updated
Mar 2, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2020

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

Authorized official

Name
Mrs. Cherie K Cody, FNP-BCNPI 1245251909
Title
Owner/NP
Phone
(985) 543-6800

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
Rural Health Clinic/Center 261QR1300X NU Primary
Family Nurse Practitioner 363LF0000X AP 04596 LA

Addresses

Primary practice location

2511 Highway 190 E
Hammond, LA 70401-8510

Mailing address

2511 Highway 190 E
Hammond, LA 70401-8510
Phone (985) 543-6800

Other identifiers 1

IdentifierTypeStateIssuer
1456241MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130521000617 LA Part B Supplier - Clinic/Group Practice 7416195060 Receives reassigned benefits from 8 practitioners
Practice locations: Hammond, LA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1407128598. Details of each certification follow.

Rural health clinic certification: CCN 193946

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
FAMILY HEALTH CARE AND WELLNESS CENTER
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Oct 24, 2019
Last certification
Oct 24, 2025
Ownership / control type
1B
Facility address
2511 Highway 190 E
Hammond, LA 70401

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
19D2042718Family Health Care and Wellness Center2511 Highway 190 East, Hammond, LA 70401Certificate of waiverJun 18, 2028

National Provider Directory

National Provider Directory

Locations

2511 Highway 190 E
Hammond, LA 70401
Phone (985) 543-6800

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1328227200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1583107200000",
    "number": "1407128598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2511 HIGHWAY 190 E",
            "city": "HAMMOND",
            "state": "LA",
            "postal_code": "704018510",
            "telephone_number": "985-543-6800",
            "fax_number": "985-543-6801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2511 HIGHWAY 190 E",
            "city": "HAMMOND",
            "state": "LA",
            "postal_code": "704018510",
            "telephone_number": "985-543-6800",
            "fax_number": "985-543-6801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY HEALTH CARE AND WELLNESS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-03",
        "last_updated": "2020-03-02",
        "certification_date": "2020-03-02",
        "status": "A",
        "authorized_official_last_name": "CODY",
        "authorized_official_first_name": "CHERIE",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER/NP",
        "authorized_official_telephone_number": "985-543-6800",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "FNP-BC"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "AP 04596",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1456241",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hammond, LA

Sources for this page

Verify at the official NPI Registry.