NPIMap

Organization Active NPI

Jodison Prime Care, LLC

  • Community Based Hospice Care Agency
  • Opelousas, LA
National Provider Identifier
1093926461
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
License
11650 Issued in LA
Legal business name
JODISON PRIME CARE, LLC
Practice address
1220 South Union St.
Suite 4
Opelousas, LA 70570
Phone
(337) 948-2004
Fax
(337) 948-2024
NPI assigned
May 25, 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
Mrs. Sandy Arceneaux
Title
Executive Director
Phone
(337) 948-2004

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X 11650 LA Primary

Addresses

Primary practice location

1220 South Union St.
Suite 4
Opelousas, LA 70570

Mailing address

1220 South Union St.
Suite 4
Opelousas, LA 70570
Phone (337) 948-2004

Other identifiers 3

IdentifierTypeStateIssuer
1623342MedicaidLA
1624578MedicaidLA
1623351MedicaidLA

National Provider Directory

National Provider Directory
Tax ID family
Jodison Prime Care 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.

Locations

1220 S Union St
Ste 4
Opelousas, LA 70570
Phone (337) 948-2004

NPI Registry JSON

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

{
    "created_epoch": "1180051200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1093926461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1220 SOUTH UNION ST.",
            "address_2": "SUITE 4",
            "city": "OPELOUSAS",
            "state": "LA",
            "postal_code": "70570",
            "telephone_number": "337-948-2004",
            "fax_number": "337-948-2024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1220 SOUTH UNION ST.",
            "address_2": "SUITE 4",
            "city": "OPELOUSAS",
            "state": "LA",
            "postal_code": "70570",
            "telephone_number": "337-948-2004",
            "fax_number": "337-948-2024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JODISON PRIME CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ARCENEAUX",
        "authorized_official_first_name": "SANDY",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "337-948-2004",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "LA",
            "license": "11650",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1623342",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1624578",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1623351",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Opelousas, 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.