NPIMap

Organization Active NPI

Pdi of the South, Inc.

  • Home Health Agency
  • Lake Charles, LA
National Provider Identifier
1619361367
Registry record updated Mar 20, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
2203782120 Issued in LA
Legal business name
PDI OF THE SOUTH, INC.
Practice address
727 Ryan St
Lake Charles, LA 70601-4242
Phone
(337) 479-0048
NPI assigned
Mar 20, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2015

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

Authorized official

Name
Margaret Destout
Title
President
Phone
(337) 479-0048

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 2203782120 LA Primary

Addresses

Primary practice location

727 Ryan St
Lake Charles, LA 70601-4242

Mailing address

727 Ryan St
Lake Charles, LA 70601-4242
Phone (337) 479-0048

Other identifiers 1

IdentifierTypeStateIssuer
2382811MedicaidLA

National Provider Directory

National Provider Directory
Tax ID family
Pdi of the South Inc8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1426809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1426809600000",
    "number": "1619361367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "727 RYAN ST",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706014242",
            "telephone_number": "337-479-0048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "727 RYAN ST",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706014242",
            "telephone_number": "337-479-0048"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PDI OF THE SOUTH, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-20",
        "last_updated": "2015-03-20",
        "status": "A",
        "authorized_official_last_name": "DESTOUT",
        "authorized_official_first_name": "MARGARET",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "337-479-0048"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "LA",
            "license": "2203782120",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2382811",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Charles, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2015; 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.