Organization Active NPI

Day Haven Adult Day Health Care, LLC

  • Developmentally Disabled Services Day Training Agency
  • Gretna, LA
National Provider Identifier
1104024827
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
License
3001 Issued in LA
Legal business name
DAY HAVEN ADULT DAY HEALTH CARE, LLC
Practice address
920 4TH St
Gretna, LA 70053-5904
Phone
(504) 361-1203
Fax
(504) 361-1105
NPI assigned
Jul 3, 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. Sinder C Miller
Title
Executive Director
Phone
(504) 361-1203

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X 3001 LA Primary

Addresses

Primary practice location

920 4TH St
Gretna, LA 70053-5904

Mailing address

PO Box 57
Gretna, LA 70054-0057
Phone (504) 361-1203

Other identifiers 3

IdentifierTypeStateIssuer
1468738MedicaidLA
1119563MedicaidLA
1179761MedicaidLA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1183420800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1104024827",
    "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 ADULT DAY HEALTH CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-03",
        "last_updated": "2020-08-22",
        "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": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "LA",
            "license": "3001",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1468738",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1119563",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1179761",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gretna, 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.