Day Haven Personal Care Agency, Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

1119563 Issued in LA

Legal business name

DAY HAVEN PERSONAL CARE AGENCY, INC

Practice address

920 4TH St
Gretna, LA 70053-5904

Phone

(504) 361-1203

Fax

(504) 361-1105

NPI assigned

Jul 16, 2007

Last updated

Jul 16, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Sinder C Miller

Title

Executive Director

Phone

(504) 361-1203

Specialties & licenses 1

Addresses

Other identifiers 2

Tax ID family

Day Haven Personal Care Agency Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Day Haven Personal Care, Inc

  • Home Health Agency
  • Gretna, LA
  • NPI 1740489129
  NPD tax ID

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

{
    "created_epoch": "1184544000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184544000000",
    "number": "1093914566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 57",
            "city": "GRETNA",
            "state": "LA",
            "postal_code": "700540057",
            "telephone_number": "504-361-1203",
            "fax_number": "504-361-1105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "920 4TH ST",
            "city": "GRETNA",
            "state": "LA",
            "postal_code": "700535904",
            "telephone_number": "504-361-1203",
            "fax_number": "504-361-1105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAY HAVEN PERSONAL CARE AGENCY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-16",
        "last_updated": "2007-07-16",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "SINDER",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "504-361-1203",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "LA",
            "license": "1119563",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1119563",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1468738",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jazzln Keyera Davis
• Linda Davis
• Marquise Davis
• Rhonda Landry Davis
• Day Haven Adult Day Health Care, LLC
• Day Haven Personal Care, Inc
• DDMS of Louisiana No 2, LLC
• Bethany Gabrielle Deairy, LMSW
• Donalyn M Deblanc, FNP
• Paige Decareaux

• Home Health Agency in Gretna, LA
• Providers in Gretna, LA by specialty
• Home Health Agency in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2007; 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.