NPIMap

Organization Active NPI

LDH Family Affair LLC

  • Driver
  • Marrero, LA
National Provider Identifier
1144711029
Registry record updated May 25, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
DriverTaxonomy code 172A00000X
License
172A00000X Issued in LA
Legal business name
LDH FAMILY AFFAIR LLC
Practice address
931 Carmadelle St
Marrero, LA 70072-2641
Phone
(504) 715-8726
Fax
(504) 407-3901
NPI assigned
May 25, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 25, 2018

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

Authorized official

Name
Mrs. Ebony RoussellNPI 1598262883
Title
Owner
Phone
(504) 715-8726

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DriverGroup: 193400000X SINGLE SPECIALTY GROUP 172A00000X 172A00000X LA Primary

Addresses

Primary practice location

931 Carmadelle St
Marrero, LA 70072-2641

Mailing address

931 Carmadelle St
Marrero, LA 70072-2641
Phone (504) 715-8726

Other identifiers 1

IdentifierTypeStateIssuer
1598262883MedicaidLA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1527206400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1527206400000",
    "number": "1144711029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "931 CARMADELLE ST",
            "city": "MARRERO",
            "state": "LA",
            "postal_code": "700722641",
            "telephone_number": "504-715-8726",
            "fax_number": "504-407-3901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "931 CARMADELLE ST",
            "city": "MARRERO",
            "state": "LA",
            "postal_code": "700722641",
            "telephone_number": "504-715-8726",
            "fax_number": "504-407-3901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LDH FAMILY AFFAIR LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-25",
        "last_updated": "2018-05-25",
        "status": "A",
        "authorized_official_last_name": "ROUSSELL",
        "authorized_official_first_name": "EBONY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "504-715-8726",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "172A00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Driver",
            "state": "LA",
            "license": "172A00000X",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1598262883",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Marrero, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2018; 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.