Active NPI
Richardson Medical Center Homecare
- Home Health Agency
- Rayville, LA
National Provider Identifier
1689612988
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 1027
- Legal business name
- RICHARDSON MEDICAL CENTER HOMECARE
- Practice address
- 1612 Julia St
Rayville, LA 71269-3504 - Phone
- (318) 728-5397
- Fax
- (318) 728-4067
- NPI assigned
- Jun 2, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Peter C. November II
- Title
- Executive Vice President
- Phone
- (337) 233-1307
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 1027 | LA | Primary |
Addresses
Primary practice location
1612 Julia St
Rayville, LA 71269-3504
Mailing address
P.O. Box 51266
Lafayette, LA 70505-1266
Phone (337) 233-1307
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 190030890Z | Other | LA | BLUE CROSS BLUE SHIELD OF |
| 1402532 | Medicaid | LA |
National Provider Directory
National Provider DirectoryLocations
1906 Julia St
Rayville, LA 71269
Phone (318) 728-5397
1612 Julia St
Rayville, LA 71269
Phone (318) 728-5397
Interoperability endpoints
- https://fhir-usa.unify.chbase.com/org/richmc-82a314b6
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149206400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1352419200000",
"number": "1689612988",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P.O. BOX 51266",
"city": "LAFAYETTE",
"state": "LA",
"postal_code": "705051266",
"telephone_number": "337-233-1307",
"fax_number": "337-233-5764"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1612 JULIA ST",
"city": "RAYVILLE",
"state": "LA",
"postal_code": "712693504",
"telephone_number": "318-728-5397",
"fax_number": "318-728-4067"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RICHARDSON MEDICAL CENTER HOMECARE",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-02",
"last_updated": "2012-11-09",
"status": "A",
"authorized_official_last_name": "NOVEMBER",
"authorized_official_first_name": "PETER",
"authorized_official_middle_name": "C.",
"authorized_official_title_or_position": "EXECUTIVE VICE PRESIDENT",
"authorized_official_telephone_number": "337-233-1307",
"authorized_official_name_prefix": "Mr.",
"authorized_official_name_suffix": "II"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "LA",
"license": "1027",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD OF",
"identifier": "190030890Z",
"state": "LA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1402532",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Rayville, LA
- Rayville Family Pharmacy LLC
- Rayville Nursing & Rehabilitation Center, Inc.
- Walter Anthony Regana
- Holly Reichardt, NP
- Richardson Dialysis, LLC
- Richardson Medical Center School Based Health Clinic
- Glenn L. Richardson, PT
- Richland Homecare, L.L.C.
- Richland Hospital Service Distict #1-B
- Richland Hospital Service District #1-B
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.