Individual provider Active NPI

Charles Frederick Hearns Jr.

  • Case Manager/Care Coordinator
  • Baton Rouge, LA
National Provider Identifier
1093337198
Registry record updated May 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
Practice address
2640 Washington Ave
Baton Rouge, LA 70802-2877
Phone
(225) 888-3002
NPI assigned
May 12, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 13, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care CoordinatorGroup: 193200000X MULTI-SPECIALTY GROUP 171M00000X LA Primary

Addresses

Primary practice location

2640 Washington Ave
Baton Rouge, LA 70802-2877

Mailing address

2640 Washington Ave
Baton Rouge, LA 70802-2877
Phone (225) 888-3002

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1589241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589328000000",
    "number": "1093337198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2640 WASHINGTON AVE",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708022877",
            "telephone_number": "225-888-3002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2640 WASHINGTON AVE",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708022877",
            "telephone_number": "225-888-3002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEARNS",
        "first_name": "CHARLES",
        "middle_name": "FREDERICK",
        "name_suffix": "Jr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-05-12",
        "last_updated": "2020-05-13",
        "certification_date": "2020-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Case Manager/Care Coordinator",
            "state": "LA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baton Rouge, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 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.