NPIMap

Organization Active NPI

Another Chance Enterprise Pca Services

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Monroe, LA
National Provider Identifier
1083821417
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X
License
6953 Issued in LA
Legal business name
ANOTHER CHANCE ENTERPRISE PCA SERVICES
Practice address
208 Cole Ave
Monroe, LA 71203-3814
Phone
(318) 342-8404
Fax
(318) 342-8406
NPI assigned
May 16, 2007
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
Mr. Christopher Jeroi Thomas
Title
Administrator
Phone
(318) 342-8404

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X 6953 LA Primary

Addresses

Primary practice location

208 Cole Ave
Monroe, LA 71203-3814

Mailing address

208 Cole Ave
Monroe, LA 71203-3814
Phone (318) 342-8404

Other identifiers 1

IdentifierTypeStateIssuer
1506761MedicaidLA

National Provider Directory

National Provider Directory
Tax ID family
Another Chance Enterprise Pca Services4 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.

NPI Registry JSON

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

{
    "created_epoch": "1179273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1083821417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "208 COLE AVE",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712033814",
            "telephone_number": "318-342-8404",
            "fax_number": "318-342-8406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 COLE AVE",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712033814",
            "telephone_number": "318-342-8404",
            "fax_number": "318-342-8406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANOTHER CHANCE ENTERPRISE PCA SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "JEROI",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "318-342-8404",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "LA",
            "license": "6953",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1506761",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroe, 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.