NPIMap

Organization Active NPI

Convenient Care LLC

Doing business as Lake After Hours Drusilla

  • Urgent Care Clinic/Center
  • Baton Rouge, LA
National Provider Identifier
1831282722
Registry record updated Jan 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
CONVENIENT CARE LLC
Doing business as
Lake After Hours Drusilla
Practice address
3282 Drusilla LN
Baton Rouge, LA 70809-1865
Phone
(225) 924-3906
Fax
(225) 927-0547
NPI assigned
Oct 2, 2006
Last updated
Jan 24, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2023

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

Authorized official

Name
Steven P. Sellars
Title
Coo/President
Phone
(225) 214-9352

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X Primary

Addresses

Primary practice location

3282 Drusilla LN
Baton Rouge, LA 70809-1865

Mailing address

PO Box 679632
Dallas, TX 75267-9632

Other identifiers 2

IdentifierTypeStateIssuer
1441376MedicaidLA
CJ4680OtherLARAILROAD

Other names 1

  • Lake After Hours Drusilla Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040618000886 LA Part B Supplier - Clinic/Group Practice 1153306816 Receives reassigned benefits from 240 practitioners
10 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Baton Rouge, LA; Denham Springs, LA; Hammond, LA; Port Allen, LA; Walker, LA; Zachary, LA

Other NPIs on the same Medicare enrollment 10

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
19D0997184Lake After Hours - Drusilla3282 Drusilla Lane, Suite a, Baton Rouge, LA 70809Certificate of waiverJun 30, 2027

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

8751 Sullivan Rd
Baton Rouge, LA 70818
Phone (225) 262-8377

Practitioners & affiliated clinicians

Practitioners 15

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.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674518400000",
    "number": "1831282722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 679632",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752679632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3282 DRUSILLA LN",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708091865",
            "telephone_number": "225-924-3906",
            "fax_number": "225-927-0547"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONVENIENT CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-02",
        "last_updated": "2023-01-24",
        "certification_date": "2023-01-24",
        "status": "A",
        "authorized_official_last_name": "SELLARS",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "P.",
        "authorized_official_title_or_position": "COO/PRESIDENT",
        "authorized_official_telephone_number": "225-214-9352"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1441376",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD",
            "identifier": "CJ4680",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lake After Hours Drusilla",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Lake After Hours Drusilla",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Baton Rouge, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.