NPIMap

Organization Active NPI

Abundant Personal Care

  • Community Based Hospice Care Agency
  • Baton Rouge, LA
National Provider Identifier
1164607396
Registry record updated May 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
License
11944 Issued in LA
Legal business name
ABUNDANT PERSONAL CARE
Practice address
4135 Lakewood St
Baton Rouge, LA 70805-2342
Phone
(225) 354-0196
Fax
(225) 355-3495
NPI assigned
Jan 7, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 5, 2008

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

Authorized official

Name
Mrs. Shantelle E. Cortez
Title
Owner/Director
Phone
(225) 354-0196

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X 11944 LA Primary

Addresses

Primary practice location

4135 Lakewood St
Baton Rouge, LA 70805-2342

Mailing address

4135 Lakewood St
Baton Rouge, LA 70805-2342
Phone (225) 354-0196

Other identifiers 1

IdentifierTypeStateIssuer
1625060MedicaidLA

National Provider Directory

National Provider Directory
Tax ID family
Abundant Personal Care4 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": "1199664000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209945600000",
    "number": "1164607396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4135 LAKEWOOD ST",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708052342",
            "telephone_number": "225-354-0196",
            "fax_number": "225-355-3495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4135 LAKEWOOD ST",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708052342",
            "telephone_number": "225-354-0196",
            "fax_number": "225-355-3495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABUNDANT PERSONAL CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-07",
        "last_updated": "2008-05-05",
        "status": "A",
        "authorized_official_last_name": "CORTEZ",
        "authorized_official_first_name": "SHANTELLE",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "OWNER/DIRECTOR",
        "authorized_official_telephone_number": "225-354-0196",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "LA",
            "license": "11944",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1625060",
            "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 May 5, 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.