Active NPI
Med House Calls LLC
- Adult Health Nurse Practitioner
- Lafayette, LA
National Provider Identifier
1619218757
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- Legal business name
- MED HOUSE CALLS LLC
- Practice address
- 204 Energy Pkwy Ste C
Lafayette, LA 70508-3816 - Phone
- (225) 368-3181
- Fax
- (225) 757-1104
- NPI assigned
- Mar 14, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Patrick Mitchell
- Title
- Manager/Ceo
- Phone
- (225) 368-3181
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | Primary | ||
| Family Nurse Practitioner | 363LF0000X | LA |
Addresses
Primary practice location
204 Energy Pkwy Ste C
Lafayette, LA 70508-3816
Mailing address
10615 Jefferson Hwy
Baton Rouge, LA 70809-7230
Phone (225) 368-3181
Other names 1
- Mobile Wound Care Services of Louisiana
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
8923 Bluebonnet Blvd
Ste C
Baton Rouge, LA 70810
Phone (225) 766-4133
204 Energy Pkwy
#C
Lafayette, LA 70508
204 Energy Pkwy
Ste C
Lafayette, LA 70508
Phone (225) 368-3152
20170 Ohio St
#C
Livingston, LA 70754
Phone (225) 686-7555
29437 S Frost Rd
Ste 7
Livingston, LA 70754
Phone (225) 686-7555
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Nurse Practitioner
- Lafayette, LA
- NPI 1952001562
-
- Adult Health Nurse Practitioner
- Lafayette, LA
- NPI 1629412069
-
- Family Nurse Practitioner
- Lafayette, LA
- NPI 1043192347
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1363219200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1671062400000",
"number": "1619218757",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10615 JEFFERSON HWY",
"city": "BATON ROUGE",
"state": "LA",
"postal_code": "708097230",
"telephone_number": "225-368-3181",
"fax_number": "225-757-1104"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "204 ENERGY PKWY STE C",
"city": "LAFAYETTE",
"state": "LA",
"postal_code": "705083816",
"telephone_number": "225-368-3181",
"fax_number": "225-757-1104"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MED HOUSE CALLS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2013-03-14",
"last_updated": "2022-12-15",
"certification_date": "2022-12-15",
"status": "A",
"authorized_official_last_name": "MITCHELL",
"authorized_official_first_name": "PATRICK",
"authorized_official_title_or_position": "MANAGER/CEO",
"authorized_official_telephone_number": "225-368-3181"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Adult Health",
"state": null,
"license": null,
"primary": true
},
{
"code": "363LF0000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": "LA",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Mobile Wound Care Services of Louisiana",
"code": "3",
"type": "Doing Business As"
}
]
}
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 Dec 15, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.