NPIMap

Organization Active NPI

Convenient Care LLC

  • Urgent Care Clinic/Center
  • Brusly, LA
National Provider Identifier
1982919262
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
Practice address
4463 Hwy 1 South
Brusly, LA 70767-0000
Phone
(225) 771-8012
Fax
(225) 771-8017
NPI assigned
Aug 11, 2010
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
Steve P Sellars
Title
President
Phone
(225) 214-9353

Specialties & licenses 1

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

Addresses

Primary practice location

4463 Hwy 1 South
Brusly, LA 70767-0000

Mailing address

PO Box 679632
Dallas, TX 75267-9632

Other identifiers 2

IdentifierTypeStateIssuer
1441376MedicaidLA
CJ4680OtherLAMEDICAID RR

Other names 1

  • Lake After Hours Brusly 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.

National Provider Directory

National Provider Directory

Member of 1

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

Practitioners & affiliated clinicians

Practitioners 25

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 25

NPI Registry JSON

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

{
    "created_epoch": "1281484800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674518400000",
    "number": "1982919262",
    "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": "4463 HWY 1 SOUTH",
            "city": "BRUSLY",
            "state": "LA",
            "postal_code": "707670000",
            "telephone_number": "225-771-8012",
            "fax_number": "225-771-8017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONVENIENT CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-11",
        "last_updated": "2023-01-24",
        "certification_date": "2023-01-24",
        "status": "A",
        "authorized_official_last_name": "SELLARS",
        "authorized_official_first_name": "STEVE",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "225-214-9353"
    },
    "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": "MEDICAID RR",
            "identifier": "CJ4680",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lake After Hours Brusly",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Lake After Hours Brusly",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Brusly, 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.