NPIMap

Organization Active NPI

Michelle L Wall, LLC

  • Case Management Agency
  • Lake Charles, LA
National Provider Identifier
1073973905
Registry record updated Mar 4, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
License
27071 Issued in LA
Legal business name
MICHELLE L WALL, LLC
Practice address
1 Lakeshore Dr
Suite 1620
Lake Charles, LA 70629-0100
Phone
(337) 421-1510
Fax
(337) 421-1516
NPI assigned
Mar 4, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2016

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

Authorized official

Name
Michelle Wall, MHS, LRC
Title
Owner
Phone
(225) 667-4014

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X 27071 LA Primary

Addresses

Primary practice location

1 Lakeshore Dr
Suite 1620
Lake Charles, LA 70629-0100

Mailing address

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

Other identifiers 1

IdentifierTypeStateIssuer
2191675MedicaidLA

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": "1457049600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1457049600000",
    "number": "1073973905",
    "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": "225-667-4014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 LAKESHORE DR",
            "address_2": "SUITE 1620",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706290100",
            "telephone_number": "337-421-1510",
            "fax_number": "337-421-1516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHELLE L WALL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-04",
        "last_updated": "2016-03-04",
        "status": "A",
        "authorized_official_last_name": "WALL",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "225-667-4014",
        "authorized_official_credential": "MHS, LRC"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "LA",
            "license": "27071",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2191675",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ABC Case Management",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lake Charles, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2016; 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.