Organization Active NPI

Workers of Mercy Behavior Management LLC

  • Community/Behavioral Health Agency
  • Bossier City, LA
National Provider Identifier
1154866390
Registry record updated Feb 14, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
WORKERS OF MERCY BEHAVIOR MANAGEMENT LLC
Practice address
401 Hamilton Rd Ste 122
Bossier City, LA 71111-4615
Phone
(318) 208-8791
Fax
(318) 208-8390
NPI assigned
Dec 26, 2016
Last updated
Feb 14, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2017

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

Authorized official

Name
Mr. Demetrius Jordan
Title
Owner
Phone
(318) 208-8791

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X NU Primary

Addresses

Primary practice location

401 Hamilton Rd Ste 122
Bossier City, LA 71111-4615

Mailing address

401 Hamilton Rd Ste 122
Bossier City, LA 71111-4615
Phone (318) 208-8791

National Provider Directory

National Provider Directory

Locations

401 Hamilton Rd
Ste 122
Bossier City, LA 71111
Phone (318) 208-8791

NPI Registry JSON

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

{
    "created_epoch": "1482710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487030400000",
    "number": "1154866390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 HAMILTON RD STE 122",
            "city": "BOSSIER CITY",
            "state": "LA",
            "postal_code": "711114615",
            "telephone_number": "318-208-8791",
            "fax_number": "844-726-2921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 HAMILTON RD STE 122",
            "city": "BOSSIER CITY",
            "state": "LA",
            "postal_code": "711114615",
            "telephone_number": "318-208-8791",
            "fax_number": "318-208-8390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WORKERS OF MERCY BEHAVIOR MANAGEMENT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-26",
        "last_updated": "2017-02-14",
        "status": "A",
        "authorized_official_last_name": "JORDAN",
        "authorized_official_first_name": "DEMETRIUS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "318-208-8791",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bossier City, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2017; 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.