Healthcare Provider Details

I. General information

NPI: 1558959288
Provider Name (Legal Business Name): CHARITY HEALTH TRAINING INSTITUTE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/07/2021
Last Update Date: 01/07/2021
Certification Date: 01/07/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

292 RIDGE RD STE 9
LAFAYETTE LA
70506-7212
US

IV. Provider business mailing address

601 BAY MEADOW LN
LAFAYETTE LA
70507-2775
US

V. Phone/Fax

Practice location:
  • Phone: 337-246-9200
  • Fax:
Mailing address:
  • Phone: 318-717-4800
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251K00000X
TaxonomyPublic Health or Welfare Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code347C00000X
TaxonomyPrivate Vehicle
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code347D00000X
TaxonomyTrain
License Number
License Number State

VIII. Authorized Official

Name: LINDSEY ELIZABETH WOODS
Title or Position: OWNER
Credential: REGISTERED NURSE
Phone: 318-717-4800