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THIBODAUX PEDIATRIC DAY HEALTH CARE
NPI 1629474192
Clinic/Center - Medically Fragile Infants and Children Day Care in Thibodaux, LA

Active since November 11, 2014
124 SUCRE LN, THIBODAUX, LA 70301(985) 446-1541(985) 446-3864 Get Directions Write a Review

NPPES record last updated: February 21, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Thibodaux Pediatric Day Health Care NPPES

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

THIBODAUX PEDIATRIC DAY HEALTH CARE (NPI 1629474192) is a healthcare organization registered as a medically fragile infants and children day care in Thibodaux, Louisiana and active in the NPI registry since November 2014. The organization lists Mary Amanda Williamson, Owner, as its authorized official.

NPPES Registry Identity

NPI1629474192
Entity TypeOrganization
Primary Taxonomy261QM3000X
Legal Business NameTHIBODAUX PDHC, LLC
Location Address124 SUCRE LNThibodaux, LA 70301-4214
Mailing Address124 Sucre LnThibodaux, LA 70301-4214 · (985) 446-1541 · Fax (985) 446-3864
Phone(985) 446-1541
Fax(985) 446-3864
Organization SubpartNo
Authorized OfficialMary Amanda WilliamsonOwner · (985) 446-1541
Enumeration DateNovember 11, 2014
Last NPPES UpdateFebruary 21, 2017
✔ NPI 1629474192 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Medically Fragile Infants and Children Day CareAmbulatory Health Care Facilities
Taxonomy Code261QM3000X
License✔ Licensed in LA · 2203782237
Definition
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.).
124 SUCRE LN, Thibodaux, LA 70301
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Other Names 1

Doing Business AsThibodaux Pediatric Day Health Care

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 19D2116148

Thibodaux Pdhc LLC · Thibodaux, LA
Expired · Jul 19, 2026
CLIA Number19D2116148
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateJuly 20, 2024
Certificate Expiration DateJuly 19, 2026
Laboratory DirectorSabrina M. Falgoust
Laboratory Phone(985) 446-1541
Laboratory LocationThibodaux Pdhc LLC124 Sucre Ln, Thibodaux, LA 70301
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Thibodaux Pdhc, LLC's NPI number?

The NPI number for Thibodaux Pdhc, LLC is 1629474192. It was assigned to this organization in the NPPES registry on November 11, 2014. The provider is doing business as Thibodaux Pediatric Day Health Care.

Where is Thibodaux Pdhc, LLC located?

Thibodaux Pdhc, LLC is located at 124 Sucre Ln, Thibodaux, LA 70301. The listed phone number is (985) 446-1541.

What is Thibodaux Pdhc, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Medically Fragile Infants and Children Day Care, with taxonomy code 261QM3000X.

When was this NPI record last updated?

The NPPES record for Thibodaux Pdhc, LLC was last updated on February 21, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.