Active NPI
Grace Outreach Center
- Community/Behavioral Health Agency
- New Orleans, LA
National Provider Identifier
1104083187
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- License
- 398
- Legal business name
- GRACE OUTREACH CENTER
- Practice address
- 2601 Tulane Ave Ste 600
New Orleans, LA 70119-7462 - Phone
- (504) 324-6863
- NPI assigned
- May 19, 2008
- 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
- Pythian Noah
- Title
- Pastor/Director
- Phone
- (504) 324-6863
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Management Agency | 251B00000X | 398 | LA | |
| Community/Behavioral Health Agency | 251S00000X | 398 | LA | Primary |
Addresses
Primary practice location
2601 Tulane Ave Ste 600
New Orleans, LA 70119-7462
Mailing address
2601 Tulane Ave Ste 600
New Orleans, LA 70119-7462
Phone (504) 324-6863
National Provider Directory
National Provider Directory- Tax ID family
- Grace Outreach Center
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Substance Use Disorder Rehabilitation Clinic/Center
- New Orleans, LA
- NPI 1578791836
-
- Community/Behavioral Health Agency
- New Orleans, LA
- NPI 1891000667
Locations
2601 Tulane Ave
Ste 600
New Orleans, LA 70119
Phone (504) 324-6863
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1211155200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1211155200000",
"number": "1104083187",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2601 TULANE AVE STE 600",
"city": "NEW ORLEANS",
"state": "LA",
"postal_code": "701197462",
"telephone_number": "504-324-6863"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2601 TULANE AVE STE 600",
"city": "NEW ORLEANS",
"state": "LA",
"postal_code": "701197462",
"telephone_number": "504-324-6863"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GRACE OUTREACH CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2008-05-19",
"last_updated": "2008-05-19",
"status": "A",
"authorized_official_last_name": "NOAH",
"authorized_official_first_name": "PYTHIAN",
"authorized_official_title_or_position": "PASTOR/DIRECTOR",
"authorized_official_telephone_number": "504-324-6863"
},
"taxonomies": [
{
"code": "251B00000X",
"taxonomy_group": "",
"desc": "Case Management",
"state": "LA",
"license": "398",
"primary": false
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "LA",
"license": "398",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New Orleans, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 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.