Organization Active NPI

Lafayette Wellness Group Inc

  • Health Service Clinic/Center
  • Lafayette, LA
National Provider Identifier
1871124859
Registry record updated Jun 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
Legal business name
LAFAYETTE WELLNESS GROUP INC
Practice address
1042 Camellia Blvd Apt 3412
Lafayette, LA 70508-6692
Phone
(787) 951-1174
NPI assigned
Jan 29, 2020
Last updated
Jun 1, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2023

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

Authorized official

Name
Dr. Eduardo Chamah, MDNPI 1639399405
Title
President
Phone
(337) 806-0293

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X Primary

Addresses

Primary practice location

1042 Camellia Blvd Apt 3412
Lafayette, LA 70508-6692

Mailing address

1042 Camellia Blvd Apt 3412
Lafayette, LA 70508-6692
Phone (787) 202-8247

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address lafayettegroup@icloud.com

National Provider Directory

National Provider Directory

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": "1580256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1685577600000",
    "number": "1871124859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1042 CAMELLIA BLVD APT 3412",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705086692",
            "telephone_number": "787-202-8247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1042 CAMELLIA BLVD APT 3412",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705086692",
            "telephone_number": "787-951-1174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAFAYETTE WELLNESS GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-29",
        "last_updated": "2023-06-01",
        "certification_date": "2021-11-18",
        "status": "A",
        "authorized_official_last_name": "CHAMAH",
        "authorized_official_first_name": "EDUARDO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "337-806-0293",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lafayettegroup@icloud.com",
            "affiliation": "N",
            "address_1": "1042 Camellia Blvd Apt 3412",
            "city": "Lafayette",
            "state": "LA",
            "country_code": "US",
            "postal_code": "705086692",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lafayette, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2023; 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.