NPIMap

Organization Active NPI

Pdi of the South Inc

  • Home Health Agency
  • Lake Charles, LA
National Provider Identifier
1679756142
Registry record updated Dec 7, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
7131 Issued in LA
Legal business name
PDI OF THE SOUTH INC
Practice address
710 W Prien Lake Rd
Ste 100
Lake Charles, LA 70601-8349
Phone
(337) 479-0048
Fax
(337) 479-0685
NPI assigned
Dec 7, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2007

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

Authorized official

Name
Ms. Margaret McCloskey
Title
President
Phone
(337) 479-0048

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 7131 LA Primary

Addresses

Primary practice location

710 W Prien Lake Rd
Ste 100
Lake Charles, LA 70601-8349

Mailing address

710 W Prien Lake Rd
Ste 100
Lake Charles, LA 70601-8349
Phone (337) 479-0048

Other identifiers 1

IdentifierTypeStateIssuer
1177652MedicaidLA

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": "1196985600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196985600000",
    "number": "1679756142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "710 W PRIEN LAKE RD",
            "address_2": "STE 100",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706018349",
            "telephone_number": "337-479-0048",
            "fax_number": "337-479-0685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 W PRIEN LAKE RD",
            "address_2": "STE 100",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706018349",
            "telephone_number": "337-479-0048",
            "fax_number": "337-479-0685"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PDI OF THE SOUTH INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-07",
        "last_updated": "2007-12-07",
        "status": "A",
        "authorized_official_last_name": "MCCLOSKEY",
        "authorized_official_first_name": "MARGARET",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "337-479-0048",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "LA",
            "license": "7131",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1177652",
            "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 Dec 7, 2007; 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.