OrganizationSjc Services Llc(Dynamiccare Hme)Durable Medical Equipment & Medical SuppliesSuppliersPractice Address4551 Johnston St, Lafayette, LA 70503-4235(337) 984-0123PECOS EnrollmentBased on the most recent information from CMS, provider Sjc Services Llc does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 3 days ago.Profile DetailsProvider ID1649231176Provider TypeOrganizationFull NameSjc Services LlcOther NameDynamiccare HmeSubpartYesEnumeration Date4/1/2006Last Updated4/20/2008Contact InformationPractice LocationPractice Address4551 Johnston St, Lafayette, LA 70503-4235Phone(337) 984-0123Fax(337) 984-5551Mailing LocationMailing AddressPO Box 51738, Lafayette, LA 70505-1738Phone(337) 984-0123Fax(337) 984-5551Authorized OfficialNameCourville, Steven J. (Manager)Phone(337) 984-0123Provider TaxonomiesCodeDescriptionLicenseCode332B00000XPrimaryDescriptionDurable Medical Equipment & Medical SuppliesSuppliersLicenseUnlisted IssuerLouisianaProvider IdentifiersIDDescriptionIssuerID1438448DescriptionMedicaidIssuerUnlistedLouisianaIDG1364DescriptionOtherIssuerBLUE CROSS/BLUE SHIELD LALouisiana