NPIMap

Organization Active NPI

Entrum Care Inc

  • Home Health Agency
  • Haughton, LA
National Provider Identifier
1093765273
Registry record updated Feb 9, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
1621447 Issued in LA
Legal business name
ENTRUM CARE INC
Practice address
6235 Highway 157
Haughton, LA 71037-7647
Phone
(318) 949-1828
Fax
(318) 949-1825
NPI assigned
May 11, 2006
Last updated
Feb 9, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2011

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

Authorized official

Name
Ms. Marie Fuller, CMA, MA, MBA
Title
Administrator
Phone
(318) 949-1828

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 1621447 LA Primary

Addresses

Primary practice location

6235 Highway 157
Haughton, LA 71037-7647

Mailing address

6235 Highway 157
PO Box 1265
Haughton, LA 71037-7647
Phone (318) 949-1828

Other identifiers 5

IdentifierTypeStateIssuer
2134574MedicaidLA
1621447MedicaidLA
1809080MedicaidLA
1624811MedicaidLA
1625493MedicaidLA

National Provider Directory

National Provider Directory
Tax ID family
Entrum Care Inc5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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": "1147305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1297209600000",
    "number": "1093765273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6235 HIGHWAY 157",
            "address_2": "PO BOX 1265",
            "city": "HAUGHTON",
            "state": "LA",
            "postal_code": "710377647",
            "telephone_number": "318-949-1828",
            "fax_number": "318-949-1825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6235 HIGHWAY 157",
            "city": "HAUGHTON",
            "state": "LA",
            "postal_code": "710377647",
            "telephone_number": "318-949-1828",
            "fax_number": "318-949-1825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENTRUM CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-11",
        "last_updated": "2011-02-09",
        "status": "A",
        "authorized_official_last_name": "FULLER",
        "authorized_official_first_name": "MARIE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "318-949-1828",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "CMA, MA, MBA"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "LA",
            "license": "1621447",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2134574",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1621447",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1809080",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1624811",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1625493",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Haughton, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2011; 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.