Fleur de Lis Community Health Inc

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

FLEUR DE LIS COMMUNITY HEALTH INC

Practice address

711 South Broadway Street
Church Point, LA 70525-4017

Phone

(337) 684-0127

Fax

(337) 684-0078

NPI assigned

Dec 23, 2014

Organization subpart

No

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

Authorized official

Name

Angela Neely, FNP-C

Title

Owner

Phone

(337) 668-4141

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Change-of-ownership history 1

Change of ownership 1

Medicare changes of ownership in which this facility was the buyer or the seller.

• Acadia-St. Landry Hospital Service District

  dba Fleur-de-Lis Rural Health Clinic

  • Rural Health Clinic/Center
  • Church Point, LA
  • NPI 1518575380

  Sold to, 2020-03-18

  CMS change of ownership

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

{
    "created_epoch": "1419292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1419292800000",
    "number": "1598153710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "711 S BROADWAY",
            "city": "CHURCH POINT",
            "state": "LA",
            "postal_code": "705254017",
            "telephone_number": "337-684-0127",
            "fax_number": "337-684-0078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "711 SOUTH BROADWAY STREET",
            "city": "CHURCH POINT",
            "state": "LA",
            "postal_code": "705254017",
            "telephone_number": "337-684-0127",
            "fax_number": "337-684-0078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLEUR DE LIS COMMUNITY HEALTH INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-23",
        "last_updated": "2014-12-23",
        "status": "A",
        "authorized_official_last_name": "NEELY",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "337-668-4141",
        "authorized_official_credential": "FNP-C"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• CLHG-Acadian LLC (Church Point Medical Clinic by AMC)
• Consultants Home Care LLC
• Crystal G Deshotel
• Felton Family Care, Inc
• Michael Felton, M.D.
• Carrie Elaine Guidry, MD
• John L Guillory Jr., D.C.
• Fernando Luis Hernandez, MSN, APRN, FNP-BC
• J & a Legros Enterprises LLC
• John L. Guillory, Jr., D.C., LLC

• Family Nurse Practitioner in Church Point, LA
• Providers in Church Point, LA by specialty
• Family Nurse Practitioner in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.