NPIMap

Organization Active NPI

Malicorp

  • Home Health Agency
  • Tallulah, LA
National Provider Identifier
1093984353
Registry record updated Feb 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
MALICORP
Practice address
722 Johnson St
Tallulah, LA 71282-4533
Phone
(318) 574-2229
Fax
(318) 574-2219
NPI assigned
Feb 20, 2008
Last updated
Feb 20, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2008

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

Authorized official

Name
Mary Alice Fuselier
Title
C.E.O.
Phone
(318) 574-2229

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

722 Johnson St
Tallulah, LA 71282-4533

Mailing address

722 Johnson St
Tallulah, LA 71282-4533
Phone (318) 574-2229

National Provider Directory

National Provider Directory
Tax ID family
Malicorp11 organizations share this tax ID, including this one

Other organizations with this tax ID 10

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": "1203465600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203465600000",
    "number": "1093984353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "722 JOHNSON ST",
            "city": "TALLULAH",
            "state": "LA",
            "postal_code": "712824533",
            "telephone_number": "318-574-2229",
            "fax_number": "318-574-2219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "722 JOHNSON ST",
            "city": "TALLULAH",
            "state": "LA",
            "postal_code": "712824533",
            "telephone_number": "318-574-2229",
            "fax_number": "318-574-2219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MALICORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-20",
        "last_updated": "2008-02-20",
        "status": "A",
        "authorized_official_last_name": "FUSELIER",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "ALICE",
        "authorized_official_title_or_position": "C.E.O.",
        "authorized_official_telephone_number": "318-574-2229"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tallulah, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2008; 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.