Healthcare Provider Details
I. General information
NPI: 1801308903
Provider Name (Legal Business Name): HEALTHEFIT, LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 10/30/2017
Last Update Date: 02/29/2024
Certification Date: 02/29/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2339 ALMONASTER AVE
NEW ORLEANS LA
70117-7401
US
IV. Provider business mailing address
2339 ALMONASTER AVE
NEW ORLEANS LA
70117-7401
US
V. Phone/Fax
- Phone: 504-484-9037
- Fax:
- Phone: 504-484-9037
- Fax: 833-254-1976
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 133N00000X |
| Taxonomy | Nutritionist |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 174H00000X |
| Taxonomy | Health Educator |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 224Y00000X |
| Taxonomy | Clinical Exercise Physiologist |
| License Number | |
| License Number State | |
| # 4 | |
| Primary Taxonomy | N |
| Taxonomy Code | 261QC1500X |
| Taxonomy | Community Health Clinic/Center |
| License Number | |
| License Number State | VA |
| # 5 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 332B00000X |
| Taxonomy | Durable Medical Equipment & Medical Supplies |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
DAVID
RACHAL
III
Title or Position: CEO
Credential:
Phone: 504-203-9174