Provider Demographics
NPI:1982398210
Name:BESTCARE MEDICAL, LLC
Entity Type:Organization
Organization Name:BESTCARE MEDICAL, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AUTHORIZED OFFICIAL/OWNER/NP
Authorized Official - Prefix:
Authorized Official - First Name:NORSHERN
Authorized Official - Middle Name:
Authorized Official - Last Name:BRUCE
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:225-313-8714
Mailing Address - Street 1:PO BOX 321
Mailing Address - Street 2:
Mailing Address - City:PORT ALLEN
Mailing Address - State:LA
Mailing Address - Zip Code:70767-0321
Mailing Address - Country:US
Mailing Address - Phone:225-313-8714
Mailing Address - Fax:225-326-2120
Practice Address - Street 1:273 N 15TH ST
Practice Address - Street 2:
Practice Address - City:PORT ALLEN
Practice Address - State:LA
Practice Address - Zip Code:70767-2575
Practice Address - Country:US
Practice Address - Phone:225-313-8714
Practice Address - Fax:225-326-2120
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-06-08
Last Update Date:2023-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty