NPIMap

Organization Active NPI

Community Living Alternatives, Inc.

  • Developmentally Disabled Services Day Training Agency
  • Thibodaux, LA
National Provider Identifier
1043493778
Registry record updated Dec 17, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
License
6347 Issued in LA
Legal business name
COMMUNITY LIVING ALTERNATIVES, INC.
Practice address
1207 Canal Blvd
Thibodaux, LA 70301-4510
Phone
(985) 448-1129
NPI assigned
Dec 17, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2007

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

Authorized official

Name
Sandra L Richardson
Title
President
Phone
(504) 471-0086

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X 6347 LA Primary

Addresses

Primary practice location

1207 Canal Blvd
Thibodaux, LA 70301-4510

Mailing address

2200 Veterans Memorial Blvd
Suite 205
Kenner, LA 70062-4001
Phone (504) 471-0086

Other identifiers 1

IdentifierTypeStateIssuer
1649520MedicaidLA

National Provider Directory

National Provider Directory
Tax ID family
Community Living Alternatives Inc10 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.

NPI Registry JSON

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

{
    "created_epoch": "1197849600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197849600000",
    "number": "1043493778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 VETERANS MEMORIAL BLVD",
            "address_2": "SUITE 205",
            "city": "KENNER",
            "state": "LA",
            "postal_code": "700624001",
            "telephone_number": "504-471-0086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1207 CANAL BLVD",
            "city": "THIBODAUX",
            "state": "LA",
            "postal_code": "703014510",
            "telephone_number": "985-448-1129"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY LIVING ALTERNATIVES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-17",
        "last_updated": "2007-12-17",
        "status": "A",
        "authorized_official_last_name": "RICHARDSON",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "504-471-0086"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "LA",
            "license": "6347",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1649520",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Thibodaux, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 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.