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LAUVES PPECC LLC NPI 1154816908


NPI Information

NPI: 1154816908
Provider Name: LAUVES PPECC LLC

Doing Business As: LAUVE'S PEDIATRIC EXTENDED CARE

Classification: Clinic/Center - 261QM3000X
Entity Type: Organization

Specialization: Medically Fragile Infants and Children Day Care

CLIA Number: 45D2169526

Address:
403 ENTERPRISE ST
LONGVIEW, TX
ZIP 75604
Phone: (318) 465-5494
Get Directions

LAUVES PPECC LLC is a medically fragile infants and children day care clinic center in Longview, TX. The provider is an entity, facility, or distinct part of a facility specially equipped and staffed to provide care for medically fragile children with varied and complex care needs (e.g., enteral or parental feeding, ostomy care, respiratory/ventilator care, medications and therapies, etc.). LAUVES PPECC LLC NPI is 1154816908. The provider is registered as an organization entity type.
The provider Is Doing Business As Lauve's Pediatric Extended Care.

The provider's business location address is:

403 ENTERPRISE ST
LONGVIEW, TX
ZIP 75604-463
Phone: (318) 465-5494
Fax: (318) 383-1215

The provider's authorized official is Crystal Simon Lauve .
The authorized official title is Owner and has the following contact phone number (318) 465-5494.

The CLIA number assigned to this NPI record is 45D2169526 - other - prescribed pediatric ext with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/25/2018 and was last updated on 4/7/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QM3000XClinic/CenterMedically Fragile Infants and Children Day CareTEXASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
14017402-01MEDICAIDTEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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