Organization Active NPI

Southeast Louisiana Veterans Healthcare System

  • Clinic/Center
  • New Orleans, LA
National Provider Identifier
1083795991
Registry record updated Jun 26, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
LT1561 Issued in LA
Legal business name
SOUTHEAST LOUISIANA VETERANS HEALTHCARE SYSTEM
Practice address
1601 Perdido St,
New Orleans, LA 70112
Phone
(504) 568-0811
NPI assigned
Oct 18, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2008

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

Authorized official

Name
Mr. Glenn Joseph Brousseau
Title
Certified Respiratory Therapy Tech
Phone
(504) 948-9809

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X LT1561 LA Primary

Addresses

Primary practice location

1601 Perdido St,
New Orleans, LA 70112

Mailing address

3403 Allen St.
New Orleans, LA 70111-2913
Phone (504) 948-9809

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214438400000",
    "number": "1083795991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3403 ALLEN ST.",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701112913",
            "telephone_number": "504-948-9809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 PERDIDO ST,",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "70112",
            "telephone_number": "504-568-0811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHEAST LOUISIANA VETERANS HEALTHCARE SYSTEM",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-18",
        "last_updated": "2008-06-26",
        "status": "A",
        "authorized_official_last_name": "BROUSSEAU",
        "authorized_official_first_name": "GLENN",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "CERTIFIED RESPIRATORY THERAPY TECH",
        "authorized_official_telephone_number": "504-948-9809",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "LA",
            "license": "LT1561",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jun 26, 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.