NPIMap

Organization Active NPI

Marie'S Family Healthcare, Inc

  • Child Intellectual and/or Developmental Disabilities Respite Care
  • Tallulah, LA
National Provider Identifier
1073958690
Registry record updated May 9, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child Intellectual and/or Developmental Disabilities Respite CareTaxonomy code 385HR2060X
Legal business name
MARIE'S FAMILY HEALTHCARE, INC
Practice address
111 N Walnut St
Tallulah, LA 71282-3733
Phone
(318) 574-9009
NPI assigned
May 9, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 9, 2013

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

Authorized official

Name
Matilda Johnson
Title
Owner
Phone
(318) 574-9009

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Child Intellectual and/or Developmental Disabilities Respite Care 385HR2060X Primary

Addresses

Primary practice location

111 N Walnut St
Tallulah, LA 71282-3733

Mailing address

111 N Walnut St
Tallulah, LA 71282-3733

Other identifiers 1

IdentifierTypeStateIssuer
1151360MedicaidLA

National Provider Directory

National Provider Directory
Tax ID family
Marie'S Family Healthcare Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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": "1368057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1368057600000",
    "number": "1073958690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 N WALNUT ST",
            "city": "TALLULAH",
            "state": "LA",
            "postal_code": "712823733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 N WALNUT ST",
            "city": "TALLULAH",
            "state": "LA",
            "postal_code": "712823733",
            "telephone_number": "318-574-9009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARIE'S FAMILY HEALTHCARE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-09",
        "last_updated": "2013-05-09",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "MATILDA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "318-574-9009"
    },
    "taxonomies": [
        {
            "code": "385HR2060X",
            "taxonomy_group": "",
            "desc": "Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1151360",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tallulah, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2013; 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.