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Contact Information

PRESCRIBED PEDIATRIC EXTENDED CARE, INC
2355 DRUSILLA LN
BATON ROUGE, LA70809-1443
 Phone: 225-231-5880
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Medically Fragile Infants and Children Day Care

261QM3000X
Indicates primary specialty

NPI Profile & details for PRESCRIBED PEDIATRIC EXTENDED CARE, INC

NPI Number 1760515977
LBN Legal business name PRESCRIBED PEDIATRIC EXTENDED CARE, INC
Authorized official HEIDI TOSTI - (VP FINANCE)
Entity Organization
Organization subpart 1 No
Enumeration date 03/14/2007
Last updated 03/15/2024 - About 2 years ago
Identifiers
FL License # 6003096
FL License # 6006096
FL License # 60080962
FL License # 60080966
FL License # 60080968
FL License # 60080972
FL License # 60080977
FL License # 60080982
FL License # 6009096
FL Medicaid 240005700
FL Medicaid 240012000
FL Medicaid 300003600
FL Medicaid 300003603
FL Medicaid 300003604
FL Medicaid 300003605
FL Medicaid 300003606
FL Medicaid 300047800
FL Medicaid 300256000
FL Medicaid 300256001
FL Medicaid 650311001
FL Medicaid 880567900
FL Medicaid 880567901
FL Medicaid 880567902
FL Medicaid 880567903
FL Medicaid 880567904
FL Medicaid 880567905
FL Medicaid 880567906
FL Medicaid 880567907
FL Medicaid 882377400
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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