NPIMap

Organization Active NPI

Michelle L Wall LLC

  • Case Management Agency
  • Denham Springs, LA
National Provider Identifier
1053594499
Registry record updated Dec 7, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
License
1313 Issued in LA
Legal business name
MICHELLE L WALL LLC
Practice address
680 Centerville St NE
Denham Springs, LA 70726-3512
Phone
(225) 667-4014
Fax
(225) 667-4886
NPI assigned
Dec 7, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2007

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

Authorized official

Name
Ms. Michelle Leblanc Wall
Title
Owner
Phone
(225) 667-4014

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X 1313 LA Primary

Addresses

Primary practice location

680 Centerville St NE
Denham Springs, LA 70726-3512

Mailing address

PO Box 1284
Denham Springs, LA 70727-1284
Phone (225) 667-4014

Other identifiers 2

IdentifierTypeStateIssuer
1479659MedicaidLA
1173509MedicaidLA

Other names 1

  • ABC Case Management Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Abc Case Management14 organizations share this tax ID, including this one

Other organizations with this tax ID 13

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

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1196985600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196985600000",
    "number": "1053594499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1284",
            "city": "DENHAM SPRINGS",
            "state": "LA",
            "postal_code": "707271284",
            "telephone_number": "225-667-4014",
            "fax_number": "225-667-4886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "680 CENTERVILLE ST NE",
            "city": "DENHAM SPRINGS",
            "state": "LA",
            "postal_code": "707263512",
            "telephone_number": "225-667-4014",
            "fax_number": "225-667-4886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHELLE L WALL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-07",
        "last_updated": "2007-12-07",
        "status": "A",
        "authorized_official_last_name": "WALL",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_middle_name": "LEBLANC",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "225-667-4014",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "LA",
            "license": "1313",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1479659",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1173509",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ABC Case Management",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Denham Springs, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 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.