NPIMap

Organization Active NPI

Amd Healthcare LC, LLC

Doing business as Avail Health Lake Charles

  • General Acute Care Hospital
  • Lake Charles, LA
National Provider Identifier
1669998852
Registry record updated Jun 4, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
Legal business name
AMD HEALTHCARE LC, LLC
Doing business as
Avail Health Lake Charles
Practice address
3730 Nelson Road
Lake Charles, LA 70605
Phone
(337) 513-0817
Fax
(337) 475-0106
NPI assigned
Aug 18, 2017
Last updated
Jun 4, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2018

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

Authorized official

Name
Mr. Elie Harroch
Title
Director of Finance
Phone
(713) 590-0640

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X NU Primary

Addresses

Primary practice location

3730 Nelson Road
Lake Charles, LA 70605

Mailing address

9811 Katy Fwy Ste 1060
Houston, TX 77024-1280
Phone (713) 590-0640

Other names 1

  • Avail Health Lake Charles Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1669998852. Details of each certification follow.

Hospital certification: CCN 190315

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
AVAIL HOSPITAL LAKE CHARLES
Certification status
Terminated Voluntary: merger or closure, Sep 29, 2023
Provider type (POS)
Hospital – Short-term
Participating since
Nov 14, 2019
Last certification
Nov 14, 2022
Beds
10
Ownership / control type
Private (for profit)
Facility address
3730 Nelson Road
Lake Charles, LA 70605

National Provider Directory

National Provider Directory

Locations

3730 Nelson Rd
Lake Charles, LA 70605
Phone (337) 513-0817

Ownership & related parties

Subparts reporting this organization as parent 2

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1503014400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1528070400000",
    "number": "1669998852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9811 KATY FWY STE 1060",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770241280",
            "telephone_number": "713-590-0640",
            "fax_number": "888-865-0063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3730 NELSON ROAD",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "70605",
            "telephone_number": "337-513-0817",
            "fax_number": "337-475-0106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMD HEALTHCARE LC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-18",
        "last_updated": "2018-06-04",
        "status": "A",
        "authorized_official_last_name": "HARROCH",
        "authorized_official_first_name": "ELIE",
        "authorized_official_title_or_position": "DIRECTOR OF FINANCE",
        "authorized_official_telephone_number": "713-590-0640",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Avail Health Lake Charles",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lake Charles, LA

Sources for this page

Verify at the official NPI Registry.