Organization · Type 2 NPI

Epiphany Healthcare of Hammond

Home Health Agency · Hammond, LA

NPI number 1417434606 Active

Practice location

11059 Phylliss Ln
Hammond, LA 70401-1102

Call (985) 209-6571 Map

Other practice locations

906 Cm Fagan Drive Bldg A Ste 6A, Hammond, LA 70403 · (985) 956-7370

Specialties and licenses

Taxonomy	Code	License
Home Health Registered Nurse	163WH0200X	None listed
Home Health Registered Respiratory Therapist	2279H0200X	None listed
Home Health Agency Primary	251E00000X	None listed
Prevention Professional	405300000X	2203783830 (LA)

Home Health Agency: A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organ…

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NPI record

NPI: 1417434606
Entity type: Organization (Type 2)
Issued: Jul 20, 2018
Last updated: Sep 24, 2018
Status: Active

Other names

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Back 2 Health Walk-In Clinic · doing business as
Epiphany Healthcare of Hammond · doing business as
Epiphany Healthcare of Hammond · doing business as

Authorized official

Mr. Christopher Moore
CEO, Executive Director
(985) 209-6571

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1417434606

Epiphany Healthcare of Hammond's National Provider Identifier is 1417434606, issued on Jul 20, 2018. The primary taxonomy on file is Home Health Agency (251E00000X), and the practice location is in Hammond, LA. The record was last updated on Sep 24, 2018.