CLYDE D PORTIS
NPI 1699599035
Lodging in Hornbeck, LA

Active since November 12, 2024
377 CHARLES MILLER RD, HORNBECK, LA 71439(346) 435-4892 Get Directions Write a Review

NPPES record last updated: November 12, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Individual
  • Male
  • Lodging

About CLYDE PORTIS

This page provides the complete NPI Profile along with additional information for Clyde Portis, a provider established in Hornbeck, Louisiana with a medical specialization in Lodging. The healthcare provider is registered in the NPI registry with number 1699599035 assigned on November 2024. The practitioner's primary taxonomy code is 177F00000X. The provider is registered as an individual and his NPI record was last updated 2 years ago.

NPI
1699599035 Verify this NPI
Provider Name
CLYDE D PORTIS
Gender
Male
Entity Type
Individual
Location Address
377 CHARLES MILLER RD HORNBECK, LA 71439
Location Phone
(346) 435-4892
Mailing Address
377 CHARLES MILLER RD HORNBECK, LA 71439
Mailing Phone
(346) 435-4892
Is Sole Proprietor?
Yes
Enumeration Date
11-12-2024
Last Update Date
11-12-2024
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Lodging

Taxonomy Code
177F00000X
Type
Other Service Providers
Taxonomy Description
A public or privately owned facility providing overnight lodging to individuals traveling long distances or receiving prolonged outpatient medical services away from home.

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Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Assisted Living Facility
377 CHARLES MILLER RD
HORNBECK, LA 71439

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1699599035, enumerated as an "individual" on November 12, 2024.

The provider is located at 377 CHARLES MILLER RD HORNBECK, LA 71439 and the phone number is (346) 435-4892.

Lodging with taxonomy code 177F00000X.