NPIMap

Organization Active NPI

Parishes Supportive Living, Inc.

  • Home Health Agency
  • Ponchatoula, LA
National Provider Identifier
1104038918
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
PARISHES SUPPORTIVE LIVING, INC.
Practice address
112 S 3Rd St
Ponchatoula, LA 70454-2602
Phone
(985) 370-5787
Fax
(985) 370-5788
NPI assigned
May 4, 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
Mr. Corey Antoine Vining
Title
Cfo
Phone
(985) 386-0898

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

112 S 3Rd St
Ponchatoula, LA 70454-2602

Mailing address

112 S 3Rd St
Ponchatoula, LA 70454-2602
Phone (985) 370-5787

Other identifiers 14

IdentifierTypeStateIssuer
1173487OtherLALTC-PONCHATOULA
1186775OtherLASIL-PONCHATOULA
1465658OtherLALTC-KENNER
1184004OtherLAPCA-PONCHATOULA
1526568OtherLAPCA-LULING
1622338OtherLALTC-BR
1627879OtherLACC-BR
1723436OtherLAPCA-KENNER
1743411OtherLALTC-LULING
1154318OtherLACC-PONCHATOULA
1454176OtherLASIL-LULING
1723924OtherLAPCA-BR
1725293OtherLASIL-KENNER
1731048OtherLASIL-BR

National Provider Directory

National Provider Directory
Tax ID family
Parishes Supportive Living17 organizations share this tax ID, including this one

Other organizations with this tax ID 16

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

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1178236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1104038918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 S 3RD ST",
            "city": "PONCHATOULA",
            "state": "LA",
            "postal_code": "704542602",
            "telephone_number": "985-370-5787",
            "fax_number": "985-370-5788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 S 3RD ST",
            "city": "PONCHATOULA",
            "state": "LA",
            "postal_code": "704542602",
            "telephone_number": "985-370-5787",
            "fax_number": "985-370-5788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARISHES SUPPORTIVE LIVING, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "VINING",
        "authorized_official_first_name": "COREY",
        "authorized_official_middle_name": "ANTOINE",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "985-386-0898",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LTC-PONCHATOULA",
            "identifier": "1173487",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SIL-PONCHATOULA",
            "identifier": "1186775",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LTC-KENNER",
            "identifier": "1465658",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PCA-PONCHATOULA",
            "identifier": "1184004",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PCA-LULING",
            "identifier": "1526568",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LTC-BR",
            "identifier": "1622338",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CC-BR",
            "identifier": "1627879",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PCA-KENNER",
            "identifier": "1723436",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LTC-LULING",
            "identifier": "1743411",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CC-PONCHATOULA",
            "identifier": "1154318",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SIL-LULING",
            "identifier": "1454176",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PCA-BR",
            "identifier": "1723924",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SIL-KENNER",
            "identifier": "1725293",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SIL-BR",
            "identifier": "1731048",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ponchatoula, 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.