Pelican State Home and Community Services

Primary specialty

Home Health AideTaxonomy code 374U00000X

Legal business name

PELICAN STATE HOME AND COMMUNITY SERVICES

Practice address

7552 Main St
Houma, LA 70360-4218

Phone

(985) 852-6586

Fax

(888) 765-1319

NPI assigned

Jun 27, 2019

Organization subpart

No

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

Authorized official

Name

Mrs. Krishondra Andrell Noel

Title

Owner

Phone

(985) 601-1581

Specialties & licenses 1

Addresses

Electronic endpoints 2

Locations

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

{
    "created_epoch": "1561593600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1624492800000",
    "number": "1922669183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7552 MAIN ST",
            "city": "HOUMA",
            "state": "LA",
            "postal_code": "703604218",
            "telephone_number": "985-852-6586",
            "fax_number": "888-765-1319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7552 MAIN ST",
            "city": "HOUMA",
            "state": "LA",
            "postal_code": "703604218",
            "telephone_number": "985-852-6586",
            "fax_number": "888-765-1319"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PELICAN STATE HOME AND COMMUNITY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-27",
        "last_updated": "2021-06-24",
        "certification_date": "2021-06-24",
        "status": "A",
        "authorized_official_last_name": "NOEL",
        "authorized_official_first_name": "KRISHONDRA",
        "authorized_official_middle_name": "ANDRELL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "985-601-1581",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "pelicans@pshcs.co",
            "affiliation": "N",
            "address_1": "154 B South Hollywood Road",
            "city": "Houma",
            "state": "LA",
            "country_code": "US",
            "postal_code": "70364",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "pelicans@pshcs.co",
            "affiliation": "N",
            "address_1": "7552 Main St",
            "city": "Houma",
            "state": "LA",
            "country_code": "US",
            "postal_code": "703604218",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Home Health Aide in Houma, LA
• Providers in Houma, LA by specialty
• Home Health Aide in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2021; 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.