Organization Active NPI

Department of Health and Hospitals

  • Substance Abuse Rehabilitation Facility
  • Lake Charles, LA
National Provider Identifier
1104871425
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
License
044 Issued in LA
Legal business name
DEPARTMENT OF HEALTH AND HOSPITALS
Practice address
4012 Avenue H
Lake Charles, LA 70615-5186
Phone
(337) 491-2355
Fax
(337) 491-2492
NPI assigned
May 24, 2006
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
Ms. Jemece Michelle Richard, LAC
Title
Inpatient Manager
Phone
(337) 491-2355

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X 044 LA Primary

Addresses

Primary practice location

4012 Avenue H
Lake Charles, LA 70615-5186

Mailing address

4012 Avenue H
Lake Charles, LA 70615-5186
Phone (337) 491-2355

Other names 1

  • J R Briscoe Treatment Center Other name

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

4012 Avenue H
Lake Charles, LA 70615
Phone (337) 433-3786

NPI Registry JSON

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

{
    "created_epoch": "1148428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1104871425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4012 AVENUE H",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706155186",
            "telephone_number": "337-491-2355",
            "fax_number": "337-491-2492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4012 AVENUE H",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706155186",
            "telephone_number": "337-491-2355",
            "fax_number": "337-491-2492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEPARTMENT OF HEALTH AND HOSPITALS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RICHARD",
        "authorized_official_first_name": "JEMECE",
        "authorized_official_middle_name": "MICHELLE",
        "authorized_official_title_or_position": "INPATIENT MANAGER",
        "authorized_official_telephone_number": "337-491-2355",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LAC"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "LA",
            "license": "044",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "J R Briscoe Treatment Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Lake Charles, 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.