Active NPI
Life Enhancement Services of Louisiana, Inc.
- Community/Behavioral Health Agency
- New Orleans, LA
National Provider Identifier
1013178524
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- LIFE ENHANCEMENT SERVICES OF LOUISIANA, INC.
- Practice address
- 1820 Saint Charles Ave
Suite 208
New Orleans, LA 70130-5268 - Phone
- (704) 516-6046
- Fax
- (704) 342-9584
- NPI assigned
- Jun 18, 2008
- Last updated
- Jun 18, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Herb Authur Gray III
- Title
- Ceo/Owner
- Phone
- (704) 560-4332
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | NU | Primary |
Addresses
Primary practice location
1820 Saint Charles Ave
Suite 208
New Orleans, LA 70130-5268
Mailing address
230 S Tryon St
Unit 1010
Charlotte, NC 28202-3215
Phone (704) 560-4332
National Provider Directory
National Provider Directory- Tax ID family
- Life Enhancement Services of Louisiana Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Community/Behavioral Health Agency
- Baton Rouge, LA
- NPI 1548420524
Locations
1820 Saint Charles Ave
Ste 208
New Orleans, LA 70130
Phone (504) 523-9691
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1213747200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1213747200000",
"number": "1013178524",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "230 S TRYON ST",
"address_2": "UNIT 1010",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282023215",
"telephone_number": "704-560-4332",
"fax_number": "704-342-9584"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1820 SAINT CHARLES AVE",
"address_2": "SUITE 208",
"city": "NEW ORLEANS",
"state": "LA",
"postal_code": "701305268",
"telephone_number": "704-516-6046",
"fax_number": "704-342-9584"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LIFE ENHANCEMENT SERVICES OF LOUISIANA, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2008-06-18",
"last_updated": "2008-06-18",
"status": "A",
"authorized_official_last_name": "GRAY",
"authorized_official_first_name": "HERB",
"authorized_official_middle_name": "AUTHUR",
"authorized_official_title_or_position": "CEO/OWNER",
"authorized_official_telephone_number": "704-560-4332",
"authorized_official_name_prefix": "Mr.",
"authorized_official_name_suffix": "III"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New Orleans, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.