Bayou Chirocare LLC
Organization Active NPI Chiropractor · Kinder, LA
NPI 1982970430 · NPPES record last updated Apr 16, 2012
Key facts
- NPI
- 1982970430
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Chiropractor 111N00000X
- License
- 1601 (LA)
- Legal business name
- BAYOU CHIROCARE LLC
- Practice address
- 107 1St Ave.
Kinder, LA 70648 - Phone
- (337) 738-4118
- NPI assigned
- Mar 29, 2012
- Organization subpart
- No
Authorized official
- Name
- Jacinda Harden
- Title
- Vice-President
- Phone
- (281) 546-2756
Practitioners 3
-
Jacinda Lynn Harden, D.C.
-
Cory Lapoint, D.C.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in LA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20120423000692 | LA | Part B Supplier - Clinic/Group Practice | 1557522349 |
Receives reassigned benefits from 3 practitioners Practice locations: Kinder, LA |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor |
111N00000X | 1601 | LA | Yes |
Addresses
Primary practice location
107 1St Ave.
Kinder, LA 70648
Mailing address
6158 Highway 26
Jennings, LA 70546-8141
Other providers in Kinder, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 16, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.