The Guild at Raphael Village LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

2203783583 Issued in LA

Legal business name

THE GUILD AT RAPHAEL VILLAGE LLC

Practice address

3401 Canal St
New Orleans, LA 70119-6207

Phone

(504) 482-0058

Fax

(504) 482-0059

NPI assigned

Jan 3, 2018

Organization subpart

No

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

Authorized official

Name

Jacqueline Marie Case

Title

Executive Director

Phone

(504) 482-0058

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

The Guild at Raphael Village LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

• The Guild at Raphael Village LLC

  • Adult Day Care Clinic/Center
  • New Orleans, LA
  • NPI 1184154858
  NPD tax ID
• The Guild at Raphael Village LLC

  • Community/Behavioral Health Agency
  • New Orleans, LA
  • NPI 1689496614
  NPD tax ID

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

{
    "created_epoch": "1514937600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529107200000",
    "number": "1093222747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "517 SORAPARU ST APT 104",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701302001",
            "telephone_number": "504-628-6876",
            "fax_number": "504-482-0059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3401 CANAL ST",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701196207",
            "telephone_number": "504-482-0058",
            "fax_number": "504-482-0059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE GUILD AT RAPHAEL VILLAGE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-03",
        "last_updated": "2018-06-16",
        "status": "A",
        "authorized_official_last_name": "CASE",
        "authorized_official_first_name": "JACQUELINE",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "504-482-0058"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "LA",
            "license": "2203783583",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1184154858",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• The Great Atlantic and Pacific Tea Company Inc (Sav a Center Pharmacy)
• The Growth Develpment Center
• The Guild at Raphael Village LLC
• The Guild at Raphael Village LLC
• The Guild at Raphael Village LLC
• The Healthy School Food Collaborative 1, LLC
• The Hennick Group, LLC (New Orleans Psychotherapy & Clinical Training)

• Community/Behavioral Health Agency in New Orleans, LA
• Providers in New Orleans, LA by specialty
• Community/Behavioral Health Agency in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; 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.