Organization Active NPI

Choices of Louisiana at Northshore LLC

  • Methadone Clinic
  • Hammond, LA
National Provider Identifier
1013350180
Registry record updated Jul 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Methadone ClinicTaxonomy code 261QM2800X
License
SA0011074 Issued in LA
Legal business name
CHOICES OF LOUISIANA AT NORTHSHORE LLC
Practice address
615 Pride Dr
Hammond, LA 70401-9523
Phone
(985) 419-1666
Fax
(985) 429-8999
NPI assigned
Apr 9, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Tiffani Traupman
Title
Director
Phone
(225) 450-3340

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Methadone Clinic 261QM2800X SA0011074 LA Primary

Addresses

Primary practice location

615 Pride Dr
Hammond, LA 70401-9523

Mailing address

PO Box 310
Brittany, LA 70718-0310
Phone (225) 450-3340

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1365465600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1594252800000",
    "number": "1013350180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 310",
            "city": "BRITTANY",
            "state": "LA",
            "postal_code": "707180310",
            "telephone_number": "225-450-3340",
            "fax_number": "225-450-6473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 PRIDE DR",
            "city": "HAMMOND",
            "state": "LA",
            "postal_code": "704019523",
            "telephone_number": "985-419-1666",
            "fax_number": "985-429-8999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHOICES OF LOUISIANA AT NORTHSHORE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-09",
        "last_updated": "2020-07-09",
        "certification_date": "2020-07-09",
        "status": "A",
        "authorized_official_last_name": "TRAUPMAN",
        "authorized_official_first_name": "TIFFANI",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "225-450-3340"
    },
    "taxonomies": [
        {
            "code": "261QM2800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Methadone",
            "state": "LA",
            "license": "SA0011074",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hammond, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.