Active NPI
Another Chance Enterprise
- Developmentally Disabled Services Day Training Agency
- Monroe, LA
National Provider Identifier
1104141779
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Developmentally Disabled Services Day Training Agency
- License
- ADC9320
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245448992 | Medicaid | LA | |
| 1326282856 | Medicaid | LA | |
| 1669690962 | Medicaid | LA | |
| 1083821417 | Medicaid | LA | |
| 1548498629 | Medicaid | LA |
Other names 1
- Another Chance Enterprise Adult Day Health Care
National Provider Directory
National Provider Directory- Tax ID family
- Another Chance Enterprise Supported Employment
Other organizations with this tax ID 3
Organizations that report the same tax identification number in the National Provider Directory.
-
- Developmentally Disabled Services Day Training Agency
- Monroe, LA
- NPI 1548498629
-
- Developmentally Disabled Services Day Training Agency
- Monroe, LA
- NPI 1326282856
-
- Developmentally Disabled Services Day Training Agency
- Columbia, LA
- NPI 1649562976
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
- Ann'S Helping Hands
- Ann'S Helping Hands
- Ann'S Helping Hands
- Ann'S Helping Hands
- Annetta Starr
- Another Chance Enterprise Pca Services
- Another Chance Enterprise Pca Services
- Another Chance Enterprise Pca Services
- Another Chance Enterprise Per
- Another Chance Enterprise Personal Care Attendant Service Incorporated
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.