Active NPI
Day Haven Adult Day Health Care, LLC
- Developmentally Disabled Services Day Training Agency
- Gretna, LA
National Provider Identifier
1104024827
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Developmentally Disabled Services Day Training Agency
- License
- 3001
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1468738 | Medicaid | LA | |
| 1119563 | Medicaid | LA | |
| 1179761 | Medicaid | LA |
National Provider Directory
National Provider DirectoryNPI 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.