NPIMap

Organization Active NPI

Greater New Orleans Supports and Services Center - Sil

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • New Orleans, LA
National Provider Identifier
1073790044
Registry record updated Jul 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X
License
8000 Issued in LA
Legal business name
GREATER NEW ORLEANS SUPPORTS AND SERVICES CENTER - SIL
Practice address
4460 General Meyer Ave
New Orleans, LA 70131-3529
Phone
(504) 364-6640
Fax
(504) 364-6652
NPI assigned
Jan 22, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2008

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

Authorized official

Name
Mr. Jamal T. Perkins
Title
Waiver Services Director
Phone
(504) 364-6640

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X 8000 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) 364-6640

Other identifiers 1

IdentifierTypeStateIssuer
1709930MedicaidLA

Other names 1

  • GNOSSC-SIL Other name

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.

NPI Registry JSON

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

{
    "created_epoch": "1200960000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216598400000",
    "number": "1073790044",
    "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": "504-364-6640",
            "fax_number": "504-364-6652"
        },
        {
            "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": "504-364-6640",
            "fax_number": "504-364-6652"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREATER NEW ORLEANS SUPPORTS AND SERVICES CENTER - SIL",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-22",
        "last_updated": "2008-07-21",
        "status": "A",
        "authorized_official_last_name": "PERKINS",
        "authorized_official_first_name": "JAMAL",
        "authorized_official_middle_name": "T.",
        "authorized_official_title_or_position": "WAIVER SERVICES DIRECTOR",
        "authorized_official_telephone_number": "504-364-6640",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "LA",
            "license": "8000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1709930",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GNOSSC-SIL",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Jul 21, 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.