Provider Demographics
NPI:1578566261
Name:HOSPITAL SERVICE DISTRICT NO. 1 OF POINTE COUPEE, LOUISIANA, INC.
Entity Type:Organization
Organization Name:HOSPITAL SERVICE DISTRICT NO. 1 OF POINTE COUPEE, LOUISIANA, INC.
Other - Org Name:POINTE COUPEE HOMEBOUND HEALTH AND HOSPICE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:JEANINE
Authorized Official - Middle Name:LAURENT
Authorized Official - Last Name:THIBODEAUX
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:225-618-2802
Mailing Address - Street 1:350 HOSPITAL RD
Mailing Address - Street 2:
Mailing Address - City:NEW ROADS
Mailing Address - State:LA
Mailing Address - Zip Code:70760-2621
Mailing Address - Country:US
Mailing Address - Phone:225-638-5717
Mailing Address - Fax:225-638-5849
Practice Address - Street 1:350 HOSPITAL RD
Practice Address - Street 2:
Practice Address - City:NEW ROADS
Practice Address - State:LA
Practice Address - Zip Code:70760-2621
Practice Address - Country:US
Practice Address - Phone:225-638-5717
Practice Address - Fax:225-638-5849
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-05-27
Last Update Date:2022-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA176251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1401544Medicaid
LA30956OtherBLUE CROSS
LA1401544Medicaid
LA197154Medicare Oscar/Certification