Organization Active NPI

Another Chance Enterprise

  • Developmentally Disabled Services Day Training Agency
  • Monroe, LA
National Provider Identifier
1104141779
Registry record updated Apr 7, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
License
ADC9320 Issued in LA
Legal business name
ANOTHER CHANCE ENTERPRISE
Doing business as
Another Chance Enterprise Adult Day Health Care
Practice address
3001 Armand St
Suite E
Monroe, LA 71201-3754
Phone
(318) 325-9503
Fax
(318) 325-9504
NPI assigned
Apr 7, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Billy Clay Foster, LCSW
Title
Executive Director
Phone
(318) 325-9503

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X ADC9320 LA Primary

Addresses

Primary practice location

3001 Armand St
Suite E
Monroe, LA 71201-3754

Mailing address

3001 Armand St
Suite E
Monroe, LA 71201-3754
Phone (318) 325-9503

Other identifiers 5

IdentifierTypeStateIssuer
1245448992MedicaidLA
1326282856MedicaidLA
1669690962MedicaidLA
1083821417MedicaidLA
1548498629MedicaidLA

Other names 1

  • Another Chance Enterprise Adult Day Health Care Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Another Chance Enterprise Supported Employment4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

Locations

3001 Armand St
Ste E
Monroe, LA 71201
Phone (318) 325-9503

NPI Registry JSON

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

{
    "created_epoch": "1270598400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1270598400000",
    "number": "1104141779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3001 ARMAND ST",
            "address_2": "SUITE E",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712013754",
            "telephone_number": "318-325-9503",
            "fax_number": "318-325-9504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3001 ARMAND ST",
            "address_2": "SUITE E",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712013754",
            "telephone_number": "318-325-9503",
            "fax_number": "318-325-9504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANOTHER CHANCE ENTERPRISE",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-07",
        "last_updated": "2010-04-07",
        "status": "A",
        "authorized_official_last_name": "FOSTER",
        "authorized_official_first_name": "BILLY",
        "authorized_official_middle_name": "CLAY",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "318-325-9503",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "LA",
            "license": "ADC9320",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1245448992",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1326282856",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1669690962",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1083821417",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1548498629",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Another Chance Enterprise Adult Day Health Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Monroe, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2010; 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.