Port City Enterprises, Inc.

Primary specialty

Child Intellectual and/or Developmental Disabilities Respite CareTaxonomy code 385HR2060X

License

4624 Issued in LA

Legal business name

PORT CITY ENTERPRISES, INC.

Practice address

836 N. Seventh St
Port Allen, LA 70767

Phone

(225) 344-1142

Fax

(225) 344-1192

NPI assigned

Sep 28, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Christine C Dunlevy, BSW

Title

Executive Director

Phone

(225) 344-1142

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Port City Enterprises Inc6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

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

• Port City Enterprises, Inc.

  • Developmental Disabilities Clinic/Center
  • Port Allen, LA
  • NPI 1154035541
  NPD tax ID
• Port City Enterprises, Inc.

  • Child Intellectual and/or Developmental Disabilities Respite Care
  • Port Allen, LA
  • NPI 1386831808
  NPD tax ID
• Port City Enterprises, Inc.

  • Child Intellectual and/or Developmental Disabilities Respite Care
  • Port Allen, LA
  • NPI 1679760516
  NPD tax ID
• Port City Enterprises, Inc.

  • Child Intellectual and/or Developmental Disabilities Respite Care
  • Port Allen, LA
  • NPI 1831386358
  NPD tax ID
• Port City Enterprises, Inc.

  • Child Intellectual and/or Developmental Disabilities Respite Care
  • Port Allen, LA
  • NPI 1881814150
  NPD tax ID

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

{
    "created_epoch": "1190937600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190937600000",
    "number": "1053508556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 113",
            "address_2": "836 N. 7TH ST",
            "city": "PORT ALLEN,",
            "state": "LA",
            "postal_code": "70767",
            "telephone_number": "225-344-1142",
            "fax_number": "225-344-1192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "836 N. SEVENTH ST",
            "city": "PORT ALLEN",
            "state": "LA",
            "postal_code": "70767",
            "telephone_number": "225-344-1142",
            "fax_number": "225-344-1192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PORT CITY ENTERPRISES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-28",
        "last_updated": "2007-09-28",
        "status": "A",
        "authorized_official_last_name": "DUNLEVY",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "225-344-1142",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "BSW"
    },
    "taxonomies": [
        {
            "code": "385HR2060X",
            "taxonomy_group": "",
            "desc": "Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child",
            "state": "LA",
            "license": "4624",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1686638",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kirkland Pelichet
• Philip G. Padgett, Ampc
• Port Allen Care Center, LLC
• Port Allen Pharmacy
• Port Allen Supermarket Inc
• Port City Enterprises, Inc.
• Port City Enterprises, Inc.
• Port City Enterprises, Inc.
• Port City Enterprises, Inc.
• Port City Enterprises, Inc.

• Child Intellectual and/or Developmental Disabilities Respite Care in Port Allen, LA
• Providers in Port Allen, LA by specialty
• Child Intellectual and/or Developmental Disabilities Respite Care in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 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.