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EPIPHANY HEALTHCARE OF HAMMOND
NPI 1417434606
Home Health in Hammond, LA

Active since July 20, 2018
11059 PHYLLISS LN, HAMMOND, LA 70401(985) 209-6571 Get Directions Write a Review

NPPES record last updated: September 24, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 24, 2018, Jul 20, 2018 (2 updates tracked since 2018).

About Epiphany Healthcare Of Hammond NPPES

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

EPIPHANY HEALTHCARE OF HAMMOND (NPI 1417434606) is a healthcare organization registered as a home health in Hammond, Louisiana and active in the NPI registry since July 2018. The organization maintains a secondary practice location in Hammond and lists Christopher Moore, Ceo, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1417434606
Entity TypeOrganization
Primary Taxonomy251E00000X
Legal Business NameEPIPHANY HEALTHCARE OF HAMMOND
Location Address11059 PHYLLISS LNHammond, LA 70401-1102
Mailing Address11059 Phylliss LnHammond, LA 70401-1102 · (985) 209-6571
Phone(985) 209-6571
Organization SubpartNo
Authorized OfficialChristopher MooreCeo, Executive Director · (985) 209-6571
Enumeration DateJuly 20, 2018
Last NPPES UpdateSeptember 24, 20182 updates tracked since enumeration
✔ NPI 1417434606 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyHome HealthAgencies
Taxonomy Code251E00000X
Definition
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 organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.
Also ListedRegistered Nurse · Home HealthTaxonomy 163WH0200X
Also ListedRespiratory Therapist, Registered · Home HealthTaxonomy 2279H0200X
Also ListedPrevention ProfessionalTaxonomy 405300000X · License 2203783830 (LA)
11059 PHYLLISS LN, Hammond, LA 70401
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Other Names 2

Doing Business AsEpiphany Healthcare Of Hammond
Doing Business AsBack 2 Health Walk-in Clinic

Secondary Practice Location 1

Location 1906 CM Fagan Drive Bldg A Ste 6AHammond, LA 70403 · Phone (985) 956-7370

Other Identifiers 1

Medicaid2203783830LA

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 Epiphany Healthcare Of Hammond's NPI number?

The NPI number for Epiphany Healthcare Of Hammond is 1417434606. It was assigned to this organization in the NPPES registry on July 20, 2018. The provider is doing business as Back 2 Health Walk-In Clinic.

Where is Epiphany Healthcare Of Hammond located?

Epiphany Healthcare Of Hammond is located at 11059 Phylliss Ln, Hammond, LA 70401. The listed phone number is (985) 209-6571.

What is Epiphany Healthcare Of Hammond's specialty?

The primary specialty registered for this NPI is Home Health with taxonomy code 251E00000X.

When was this NPI record last updated?

The NPPES record for Epiphany Healthcare Of Hammond was last updated on September 24, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.