NPIMap

Organization Active NPI

1St Calebs Sil & Pca Restoration Inc

  • Community Based Hospice Care Agency
  • Baton Rouge, LA
National Provider Identifier
1154505121
Registry record updated Dec 26, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
1ST CALEBS SIL & PCA RESTORATION INC
Practice address
5700 Florida Blvd Ste 707
Baton Rouge, LA 70806-4280
Phone
(225) 923-2828
Fax
(225) 923-2829
NPI assigned
Dec 26, 2007
Last updated
Dec 26, 2007By the provider in NPPES
Organization subpart
Yes
Parent organization
1ST CALEBS SIL & PCA RESTORATION INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 26, 2007

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

Authorized official

Name
Taree Tremaine Brown
Title
President
Phone
(225) 923-2828

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X NU Primary

Addresses

Primary practice location

5700 Florida Blvd Ste 707
Baton Rouge, LA 70806-4280

Mailing address

5700 Florida Blvd Ste 707
Baton Rouge, LA 70806-4280
Phone (225) 923-2828

Other identifiers 1

IdentifierTypeStateIssuer
1509302MedicaidLA

National Provider Directory

National Provider Directory
Tax ID family
1St Calebs Sil Pca Restoration Inc4 organizations share this tax ID, including this one
Part of
1St Calebs Sil Pca Restoration Inc

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

5700 Florida Blvd
Ste 707
Baton Rouge, LA 70806
Phone (225) 923-2828

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1198627200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1198627200000",
    "number": "1154505121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5700 FLORIDA BLVD STE 707",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708064280",
            "telephone_number": "225-923-2828",
            "fax_number": "225-923-2829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5700 FLORIDA BLVD STE 707",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708064280",
            "telephone_number": "225-923-2828",
            "fax_number": "225-923-2829"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "1ST CALEBS SIL & PCA RESTORATION INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "1ST CALEBS SIL & PCA RESTORATION INC",
        "enumeration_date": "2007-12-26",
        "last_updated": "2007-12-26",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "TAREE",
        "authorized_official_middle_name": "TREMAINE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "225-923-2828"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1509302",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Baton Rouge, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2007; 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.