SJC Services LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

SJC SERVICES LLC

Practice address

4551 Johnston St
Lafayette, LA 70503-4235

Phone

(337) 984-0123

Fax

(337) 984-5551

NPI assigned

Mar 15, 2007

Organization subpart

Yes

Parent organization

SJC SERVICES LLCAs reported in NPPES

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

Authorized official

Name

Mr. Steven J Courville

Title

Manager

Phone

(337) 984-0123

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• DynamicCare Doing business as

Tax ID family

SJC Services LLC2 organizations share this tax ID, including this one

Part of

SJC Services LLC

Other organizations with this tax ID 1

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

• SJC Services LLC

  • Durable Medical Equipment & Medical Supplies
  • Lafayette, LA
  • NPI 1528192689
  NPD tax ID

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

{
    "created_epoch": "1173916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194393600000",
    "number": "1871627604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 51738",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705051738",
            "telephone_number": "337-984-0123",
            "fax_number": "337-984-5551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4551 JOHNSTON ST",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705034235",
            "telephone_number": "337-984-0123",
            "fax_number": "337-984-5551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SJC SERVICES LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SJC SERVICES LLC",
        "enumeration_date": "2007-03-15",
        "last_updated": "2007-11-07",
        "status": "A",
        "authorized_official_last_name": "COURVILLE",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "337-984-0123",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "LA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1455156",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DynamicCare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Val M Sion, R.N.
• Steven Michael Siracusa, MS,ATC,LAT,CSCS
• Kristen Sison, LPC
• SJC Services LLC
• SJC Services LLC
• Samuel Frederic Skinner, MD
• Morris Joseph Skipper Jr., MHS
• Julie Skolfield, O.D.
• Jimmy William Skrasek, MD
• Rodney Steve Skrnich, RPH

• Durable Medical Equipment & Medical Supplies in Lafayette, LA
• Providers in Lafayette, LA by specialty
• Durable Medical Equipment & Medical Supplies in Louisiana

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