Organization Active NPI

Maxwell Heirsch, Inc.

  • In Home Supportive Care Agency
  • Harahan, LA
National Provider Identifier
1104191972
Registry record updated Mar 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
12258 Issued in LA
Legal business name
MAXWELL HEIRSCH, INC.
Doing business as
Visiting Angels
Practice address
1929 Hickory Ave
Harahan, LA 70123-1630
Phone
(504) 737-0522
Fax
(504) 737-0533
NPI assigned
Mar 13, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2021

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

Authorized official

Name
Jaime L Maxwell
Title
Ceo
Phone
(504) 737-0522

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X 12258 LA Primary

Addresses

Primary practice location

1929 Hickory Ave
Harahan, LA 70123-1630

Mailing address

1929 Hickory Ave
Harahan, LA 70123-1630
Phone (504) 737-0522

Other identifiers 1

IdentifierTypeStateIssuer
12258OtherLASTATE DEPT OF HEALTH AND HOSPITALS PCA LICENSE

Other names 1

  • Visiting Angels Doing business as

National Provider Directory

National Provider Directory

Locations

1972 Ormond Blvd
Ste A
Destrehan, LA 70047
Phone (985) 307-0977

1929 Hickory Ave
Harahan, LA 70123
Phone (504) 737-0522

NPI Registry JSON

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

{
    "created_epoch": "1331596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1615852800000",
    "number": "1104191972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1929 HICKORY AVE",
            "city": "HARAHAN",
            "state": "LA",
            "postal_code": "701231630",
            "telephone_number": "504-737-0522",
            "fax_number": "504-737-0533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1929 HICKORY AVE",
            "city": "HARAHAN",
            "state": "LA",
            "postal_code": "701231630",
            "telephone_number": "504-737-0522",
            "fax_number": "504-737-0533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAXWELL HEIRSCH, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-13",
        "last_updated": "2021-03-16",
        "certification_date": "2021-03-16",
        "status": "A",
        "authorized_official_last_name": "MAXWELL",
        "authorized_official_first_name": "JAIME",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "504-737-0522"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "LA",
            "license": "12258",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE DEPT OF HEALTH AND HOSPITALS PCA LICENSE",
            "identifier": "12258",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Visiting Angels",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Visiting Angels",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Harahan, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2021; 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.