Healthcare Provider Details

I. General information

NPI: 1487692059
Provider Name (Legal Business Name): POINTE COUPEE HEALTHCARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/03/2006
Last Update Date: 06/16/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1820 FALSE RIVER ROAD
NEW ROADS LA
70760
US

IV. Provider business mailing address

1820 FALSE RIVER ROAD
NEW ROADS LA
70760
US

V. Phone/Fax

Practice location:
  • Phone: 225-638-4431
  • Fax: 225-638-5933
Mailing address:
  • Phone: 225-638-4431
  • Fax: 225-638-5933

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number892
License Number StateLA

VIII. Authorized Official

Name: KIM DELATTE
Title or Position: COMPTROLLER
Credential:
Phone: 225-664-6697