NPIMap

Organization Active NPI

Tunson Pca Agency LLC

  • Custodial Care Facility
  • Napoleonville, LA
National Provider Identifier
1104045269
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Custodial Care FacilityTaxonomy code 311Z00000X
License
PCA 6989 Issued in LA
Legal business name
TUNSON PCA AGENCY LLC
Practice address
4781 Hwy 1 South
Napoleonville, LA 70390
Phone
(985) 369-7002
Fax
(985) 369-7170
NPI assigned
Apr 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
Nicole O Tunson
Title
Owner
Phone
(985) 369-7002

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Custodial Care Facility 311Z00000X PCA 6989 LA Primary

Addresses

Primary practice location

4781 Hwy 1 South
Napoleonville, LA 70390

Mailing address

120 Vickie St
4781 Hwy 1
Napoleonville, LA 70390-8638
Phone (985) 369-7002

Other identifiers 1

IdentifierTypeStateIssuer
1509469MedicaidLA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1177459200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1104045269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 VICKIE ST",
            "address_2": "4781 HWY 1",
            "city": "NAPOLEONVILLE",
            "state": "LA",
            "postal_code": "703908638",
            "telephone_number": "985-369-7002",
            "fax_number": "985-369-7170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4781 HWY 1 SOUTH",
            "city": "NAPOLEONVILLE",
            "state": "LA",
            "postal_code": "70390",
            "telephone_number": "985-369-7002",
            "fax_number": "985-369-7170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TUNSON PCA AGENCY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "TUNSON",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "985-369-7002"
    },
    "taxonomies": [
        {
            "code": "311Z00000X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility",
            "state": "LA",
            "license": "PCA 6989",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1509469",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Napoleonville, 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.