MEDICARE: SELF-FULFILLMENT HEALTHCARE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	374U00000X	Home Health Aide

General Provider Information

NPI Number	:	1275496648
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SELF-FULFILLMENT HEALTHCARE

Provider Business Mailing Address
First Line	:	536 SETTLERS TRACE BLVD APT 9107
Second Line	:
City	:	LAFAYETTE
State	:	LA
Zip	:	70508-6237
Country	:	US
Telephone Number	:	337-636-1057
Fax Number	:

Provider Business Practice Location Address
First Line	:	536 SETTLERS TRACE BLVD APT 9107
Second Line	:
City	:	LAFAYETTE
State	:	LA
Zip	:	70508-6237
Country	:	US
Telephone Number	:	337-636-1057
Fax Number	:

Authorized Official
Title or Position	:	FOUNDER
Name	:	CATENDRA WELCOME
Credential	:
Telephone Number	:	337-636-1057

Provider Enumeration Date	:	12/03/2025
Last Update Date	:	12/17/2025

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Directions to “SELF-FULFILLMENT HEALTHCARE ” Practice Location

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