NPIMap

Organization Active NPI

Maison de Williams, Inc.

  • Adult Day Care Clinic/Center
  • Breaux Bridge, LA
National Provider Identifier
1083779243
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
License
2675 Issued in LA
Legal business name
MAISON DE WILLIAMS, INC.
Practice address
828 Latiolais Dr
Breaux Bridge, LA 70517-4235
Phone
(337) 332-5329
Fax
(337) 332-5331
NPI assigned
Dec 27, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Cheryl W Williams
Title
Director
Phone
(337) 332-5329

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Day Care Clinic/Center 261QA0600X 2675 LA Primary

Addresses

Primary practice location

828 Latiolais Dr
Breaux Bridge, LA 70517-4235

Mailing address

828 Latiolais Dr
P.O. Box 1267
Breaux Bridge, LA 70517-4235
Phone (337) 332-5329

Other identifiers 1

IdentifierTypeStateIssuer
1557943MedicaidLA

National Provider Directory

National Provider Directory
Tax ID family
Maison de Williams Inc4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

Locations

828 Latiolais Dr
Breaux Bridge, LA 70517
Phone (337) 332-5329

NPI Registry JSON

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

{
    "created_epoch": "1167177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1083779243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "828 LATIOLAIS DR",
            "address_2": "P.O. BOX 1267",
            "city": "BREAUX BRIDGE",
            "state": "LA",
            "postal_code": "705174235",
            "telephone_number": "337-332-5329",
            "fax_number": "337-332-5331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "828 LATIOLAIS DR",
            "city": "BREAUX BRIDGE",
            "state": "LA",
            "postal_code": "705174235",
            "telephone_number": "337-332-5329",
            "fax_number": "337-332-5331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAISON DE WILLIAMS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "CHERYL",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "337-332-5329"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "LA",
            "license": "2675",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1557943",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Breaux Bridge, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.