Organization Active NPI

St. Paul Companion Care, L.L.C.

  • Home Health Agency
  • Lake Charles, LA
National Provider Identifier
1689871121
Registry record updated Jul 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
PCA7221 Issued in LA
Legal business name
ST. PAUL COMPANION CARE, L.L.C.
Practice address
1 Lakeshore Dr Ste 1695
Lake Charles, LA 70629-0114
Phone
(337) 433-1403
Fax
(337) 433-5311
NPI assigned
Jun 28, 2007
Last updated
Jul 21, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2008

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

Authorized official

Name
Mr. Yul Dubart Lorio
Title
Managing Member
Phone
(337) 433-1403

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X PCA7221 LA Primary

Addresses

Primary practice location

1 Lakeshore Dr Ste 1695
Lake Charles, LA 70629-0114

Mailing address

1 Lakeshore Dr Ste 1695
Lake Charles, LA 70629-0114
Phone (337) 433-1403

Other identifiers 1

IdentifierTypeStateIssuer
1013153MedicaidLA

National Provider Directory

National Provider Directory
Tax ID family
St Paul Companion Care LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

1 Lakeshore Dr
Ste 1695
Lake Charles, LA 70629
Phone (337) 433-0100

NPI Registry JSON

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

{
    "created_epoch": "1182988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216598400000",
    "number": "1689871121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 LAKESHORE DR STE 1695",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706290114",
            "telephone_number": "337-433-1403",
            "fax_number": "337-433-5311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 LAKESHORE DR STE 1695",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706290114",
            "telephone_number": "337-433-1403",
            "fax_number": "337-433-5311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. PAUL COMPANION CARE, L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-28",
        "last_updated": "2008-07-21",
        "status": "A",
        "authorized_official_last_name": "LORIO",
        "authorized_official_first_name": "YUL",
        "authorized_official_middle_name": "DUBART",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "337-433-1403",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "LA",
            "license": "PCA7221",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1013153",
            "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 Jul 21, 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.

Verify at the official NPI Registry.