NPIMap

Organization Active NPI

Tailored Care Inc

  • Developmentally Disabled Services Day Training Agency
  • Terrytown, LA
National Provider Identifier
1023208196
Registry record updated Jul 25, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
License
PCA 8682 Issued in LA
Legal business name
TAILORED CARE INC
Practice address
1799 Stumpf Blvd
BLDG 5 Ste 1
Terrytown, LA 70056-3950
Phone
(504) 368-1512
NPI assigned
Jul 25, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2007

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

Authorized official

Name
Ms. Michelle Jo Bruce, RN
Title
President
Phone
(504) 368-1512

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X PCA 8682 LA Primary
Developmentally Disabled Services Day Training Agency 251C00000X SIL 8683 LA
Developmentally Disabled Services Day Training Agency 251C00000X RC 8681 LA

Addresses

Primary practice location

1799 Stumpf Blvd
BLDG 5 Ste 1
Terrytown, LA 70056-3950

Mailing address

1405 Maplewood Dr
Harvey, LA 70058-3809
Phone (504) 368-6483

Other identifiers 3

IdentifierTypeStateIssuer
1472107MedicaidLA
1435597MedicaidLA
1435619MedicaidLA

National Provider Directory

National Provider Directory
Tax ID family
Tailored Care Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1185321600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1185321600000",
    "number": "1023208196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1405 MAPLEWOOD DR",
            "city": "HARVEY",
            "state": "LA",
            "postal_code": "700583809",
            "telephone_number": "504-368-6483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1799 STUMPF BLVD",
            "address_2": "BLDG 5 STE 1",
            "city": "TERRYTOWN",
            "state": "LA",
            "postal_code": "700563950",
            "telephone_number": "504-368-1512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAILORED CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-25",
        "last_updated": "2007-07-25",
        "status": "A",
        "authorized_official_last_name": "BRUCE",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_middle_name": "JO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "504-368-1512",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "LA",
            "license": "PCA 8682",
            "primary": true
        },
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "LA",
            "license": "SIL 8683",
            "primary": false
        },
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "LA",
            "license": "RC 8681",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1472107",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1435597",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1435619",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Terrytown, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2007; 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.