Active NPI
SJC Services LLC
Doing business as DynamicCare HME
- Durable Medical Equipment & Medical Supplies
- Lafayette, LA
National Provider Identifier
1649231176
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- SJC SERVICES LLC
- Doing business as
- DynamicCare HME
- Practice address
- 4551 Johnston St
Lafayette, LA 70503-4235 - Phone
- (337) 984-0123
- Fax
- (337) 984-5551
- NPI assigned
- Apr 1, 2006
- Organization subpart
- Yes
- Parent organization
- SJC SERVICES LLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Steven J. Courville
- Title
- Manager
- Phone
- (337) 984-0123
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | LA | Primary |
Addresses
Primary practice location
4551 Johnston St
Lafayette, LA 70503-4235
Mailing address
PO Box 51738
Lafayette, LA 70505-1738
Phone (337) 984-0123
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1438448 | Medicaid | LA | |
| G1364 | Other | LA | BLUE CROSS/BLUE SHIELD LA |
Other names 1
- DynamicCare HME
National Provider Directory
National Provider Directory- Part of
- SJC Services LLC
Locations
4551 Johnston St
Lafayette, LA 70503
Phone (337) 984-0123
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143849600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1208649600000",
"number": "1649231176",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 51738",
"city": "LAFAYETTE",
"state": "LA",
"postal_code": "705051738",
"telephone_number": "337-984-0123",
"fax_number": "337-984-5551"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4551 JOHNSTON ST",
"city": "LAFAYETTE",
"state": "LA",
"postal_code": "705034235",
"telephone_number": "337-984-0123",
"fax_number": "337-984-5551"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SJC SERVICES LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "SJC SERVICES LLC",
"enumeration_date": "2006-04-01",
"last_updated": "2008-04-20",
"status": "A",
"authorized_official_last_name": "COURVILLE",
"authorized_official_first_name": "STEVEN",
"authorized_official_middle_name": "J.",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "337-984-0123",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "LA",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1438448",
"state": "LA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS/BLUE SHIELD LA",
"identifier": "G1364",
"state": "LA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "DynamicCare HME",
"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 Apr 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.