Bedside Homecare, LLC

Organization Active NPI Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Lafayette, LA

NPI 1639327992 · NPPES record last updated Aug 28, 2008

Key facts

NPI
1639327992
Entity type
Organization (NPI type 2)
Primary specialty
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X
License
15037 (LA)
Legal business name
BEDSIDE HOMECARE, LLC
Practice address
1602 W Pinhook Rd Ste 209
Lafayette, LA 70508-3735
Phone
(337) 269-5885
Fax
(337) 269-5884
NPI assigned
Aug 28, 2008
Organization subpart
No

Authorized official

Name
Ms. Norlet Taylor Sonnier
Title
Administrator/Owner
Phone
(337) 269-5885

Corporate family (same tax ID) 5

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

National Provider Directory

Tax ID family
Bedside Homecare LLC (6 organizations share this tax ID)

Locations

1602 W Pinhook Rd
Ste 209
Lafayette, LA 70508
Phone (337) 269-5885

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X 15037 LA Yes

Addresses

Primary practice location

1602 W Pinhook Rd Ste 209
Lafayette, LA 70508-3735

Mailing address

1602 W Pinhook Rd Ste 209
Lafayette, LA 70508-3735
Phone (337) 269-5885

Other identifiers

IdentifierTypeStateIssuer
1073202MedicaidLA

Other providers in Lafayette, LA

All providers in Lafayette, LA · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Louisiana

Sources for this page

Verify at the official NPI Registry.