NPIMap

Organization Active NPI

Greater New Orleans Supports and Services Ctr. - Vulcan Street CH

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • New Orleans, LA
National Provider Identifier
1043485667
Registry record updated Apr 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X
License
1014 Issued in LA
Legal business name
GREATER NEW ORLEANS SUPPORTS AND SERVICES CTR. - VULCAN STREET CH
Practice address
4460 General Meyer Ave
New Orleans, LA 70131-3529
Phone
(504) 364-6600
Fax
(504) 364-6651
NPI assigned
Apr 24, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2008

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

Authorized official

Name
Mr. Kin Hodge
Title
MRDD Regional Administrator 4
Phone
(504) 364-6600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X 1014 LA Primary

Addresses

Primary practice location

4460 General Meyer Ave
New Orleans, LA 70131-3529

Mailing address

4460 General Meyer Ave
New Orleans, LA 70131-3529
Phone (504) 364-6600

National Provider Directory

National Provider Directory
Tax ID family
Greater New Orleans Supports Services Center10 organizations share this tax ID, including this one

Other organizations with this tax ID 9

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

Locations

4460 General Meyer Ave
New Orleans, LA 70131
Phone (504) 364-6600

NPI Registry JSON

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

{
    "created_epoch": "1208995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208995200000",
    "number": "1043485667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4460 GENERAL MEYER AVE",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701313529",
            "telephone_number": "504-364-6600",
            "fax_number": "504-364-6651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4460 GENERAL MEYER AVE",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701313529",
            "telephone_number": "504-364-6600",
            "fax_number": "504-364-6651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREATER NEW ORLEANS SUPPORTS AND SERVICES CTR. - VULCAN STREET CH",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-24",
        "last_updated": "2008-04-24",
        "status": "A",
        "authorized_official_last_name": "HODGE",
        "authorized_official_first_name": "KIN",
        "authorized_official_title_or_position": "MRDD REGIONAL ADMINISTRATOR 4",
        "authorized_official_telephone_number": "504-364-6600",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "LA",
            "license": "1014",
            "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 Apr 24, 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.

Verify at the official NPI Registry.