EVANGELINE EXTENDED CARE HOSPITAL
NPI 1205045630
General Acute Care Hospital in Mamou, LA

Active since May 22, 2007
801 POINCIANA AVE, 2ND FLOOR, MAMOU, LA 70554(337) 468-4203(337) 468-4215 Get Directions Write a Review

NPPES record last updated: January 18, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Evangeline Extended Care Hospital NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EVANGELINE EXTENDED CARE HOSPITAL (NPI 1205045630) is a healthcare organization registered as a general acute care hospital in Mamou, Louisiana and active in the NPI registry since May 2007. The organization lists Keith G. Myers, President And Ceo, as its authorized official.

NPPES Registry Identity

NPI1205045630
Entity TypeOrganization
Primary Taxonomy282N00000X
Legal Business NameLLC-II, LLC
Location Address801 POINCIANA AVE, 2ND FLOORMamou, LA 70554-2243
Mailing Address420 W Pinhook Rd, Suite ALafayette, LA 70503-2131 · (337) 233-1307 · Fax (337) 233-5764
Fax(337) 468-4215
Organization SubpartYes
Authorized OfficialKeith G. MyersPresident And Ceo · (337) 233-1307
Enumeration DateMay 22, 2007
Last NPPES UpdateJanuary 18, 2008
NPI 1205045630 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyGeneral Acute Care HospitalHospitals
Taxonomy Code282N00000X
License Licensed in LA · 609-A
Definition
An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity.
801 POINCIANA AVE, Mamou, LA 70554

Other Names 1

Doing Business AsEvangeline Extended Care Hospital

Other Identifiers 2

Medicare OSCAR/certification192034LA
Medicaid1700461LA

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine
801 POINCIANA AVE
MAMOU, LA 70554
Emergency Medicine
801 POINCIANA AVE
MAMOU, LA 70554
Rehabilitation Unit
801 POINCIANA AVE
MAMOU, LA 70554
Anesthesiology
801 POINCIANA AVE
MAMOU, LA 70554
Internal Medicine
801 POINCIANA AVE
MAMOU, LA 70554
General Acute Care Hospital (Rural)
801 POINCIANA AVE
MAMOU, LA 70554
Emergency Medicine (Emergency Medical Services)
801 POINCIANA AVE
MAMOU, LA 70554
General Acute Care Hospital
801 POINCIANA AVE
MAMOU, LA 70554

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Llc-Ii, LLC's NPI number?

The NPI number for Llc-Ii, LLC is 1205045630. It was assigned to this organization in the NPPES registry on May 22, 2007. The provider is doing business as Evangeline Extended Care Hospital.

Where is Llc-Ii, LLC located?

Llc-Ii, LLC is located at 801 Poinciana Ave 2nd Floor, Mamou, LA 70554. The listed phone number is (337) 468-4203.

What is Llc-Ii, LLC's specialty?

The primary specialty registered for this NPI is General Acute Care Hospital with taxonomy code 282N00000X.

When was this NPI record last updated?

The NPPES record for Llc-Ii, LLC was last updated on January 18, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.