NPIMap

Organization Active NPI

Martin Family Support Services

  • PACE Provider Organization
  • Plain Dealing, LA
National Provider Identifier
1124276068
Registry record updated Sep 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PACE Provider OrganizationTaxonomy code 251T00000X
License
15079 Issued in LA
Legal business name
MARTIN FAMILY SUPPORT SERVICES
Practice address
248 Blankenship
248 Blankenship
Plain Dealing, LA 71064
Phone
(318) 326-4623
NPI assigned
Sep 4, 2008
Last updated
Sep 4, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2008

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

Authorized official

Name
Ms. Chinkesha C Taylor
Title
Director
Phone
(318) 326-4623

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PACE Provider Organization 251T00000X 15079 LA Primary

Addresses

Primary practice location

248 Blankenship
248 Blankenship
Plain Dealing, LA 71064

Mailing address

248 Blankenship Road
Plain Dealing, LA 71064
Phone (318) 326-4623

Other identifiers 1

IdentifierTypeStateIssuer
15079MedicaidLA

National Provider Directory

National Provider Directory
Tax ID family
Martin Family Support Services4 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.

NPI Registry JSON

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

{
    "created_epoch": "1220486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1220486400000",
    "number": "1124276068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "248 BLANKENSHIP ROAD",
            "city": "PLAIN DEALING",
            "state": "LA",
            "postal_code": "71064",
            "telephone_number": "318-326-4623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "248 BLANKENSHIP",
            "address_2": "248 BLANKENSHIP",
            "city": "PLAIN DEALING",
            "state": "LA",
            "postal_code": "71064",
            "telephone_number": "318-326-4623"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARTIN FAMILY SUPPORT SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-04",
        "last_updated": "2008-09-04",
        "status": "A",
        "authorized_official_last_name": "TAYLOR",
        "authorized_official_first_name": "CHINKESHA",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "318-326-4623",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251T00000X",
            "taxonomy_group": "",
            "desc": "Program of All-Inclusive Care for the Elderly (PACE) Provider Organization",
            "state": "LA",
            "license": "15079",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "15079",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Plain Dealing, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 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.

Verify at the official NPI Registry.