Healthcare Provider Details

I. General information

NPI: 1275580011
Provider Name (Legal Business Name): RAPIDES HEALTHCARE SYSTEM, L.L.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/27/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

801 POINCIANA AVE
MAMOU LA
70554-2243
US

IV. Provider business mailing address

801 POINCIANA AVE
MAMOU LA
70554-2243
US

V. Phone/Fax

Practice location:
  • Phone: 337-468-5261
  • Fax: 318-468-3342
Mailing address:
  • Phone: 337-468-5261
  • Fax: 318-468-3342

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251G00000X
TaxonomyCommunity Based Hospice Care Agency
License Number
License Number State

VIII. Authorized Official

Name: DAVID HANNA
Title or Position: CFO
Credential:
Phone: 337-468-0143