Healthcare Provider Details

I. General information

NPI: 1881560811
Provider Name (Legal Business Name): HARTMAN FAMILY CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/16/2025
Last Update Date: 06/03/2026
Certification Date: 06/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

308 W 4TH ST
DEQUINCY LA
70633-3404
US

IV. Provider business mailing address

3173 BUNKER HILL RD
LAKE CHARLES LA
70611-5909
US

V. Phone/Fax

Practice location:
  • Phone: 337-236-1416
  • Fax: 337-231-8450
Mailing address:
  • Phone: 817-627-7481
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QP2300X
TaxonomyPrimary Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MRS. JANE MICHELLE HARTMAN
Title or Position: OWNER/MANAGER
Credential: APRN FNP-C
Phone: 337-236-1416