NPIMap

Organization Active NPI

Volunteers of America Southeast Louisiana, Inc.

  • Developmentally Disabled Services Day Training Agency
  • Mandeville, LA
National Provider Identifier
1164636288
Registry record updated Sep 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
License
6786 Issued in LA
Legal business name
VOLUNTEERS OF AMERICA SOUTHEAST LOUISIANA, INC.
Practice address
823 Carroll Street
Suite B
Mandeville, LA 70448
Phone
(985) 674-0488
Fax
(504) 647-0336
NPI assigned
May 9, 2007
Organization subpart
Yes
Parent organization
VOLUNTEERS OF AMERICA SOUTHEAST LOUISIANA, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 23, 2024

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

Authorized official

Name
Jason Burt
Title
Evp of Enterprise & Administration
Phone
(504) 486-8674

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X 6786 LA Primary

Addresses

Primary practice location

823 Carroll Street
Suite B
Mandeville, LA 70448

Mailing address

4152 Canal Street
New Orleans, LA 70119
Phone (504) 482-2130

Other identifiers 1

IdentifierTypeStateIssuer
1712728MedicaidLA

Other names 2

  • Volunteers of America Greater New Orleans, Inc. Former legal business name
  • PCA - Northshore Other name

National Provider Directory

National Provider Directory
Tax ID family
Volunteers of America SE la24 organizations share this tax ID, including this one
Part of
Volunteers of America SE la

Other organizations with this tax ID 23

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

View all 23

Locations

3939 N Causeway Blvd
Ste 100
Metairie, LA 70002

NPI Registry JSON

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

{
    "created_epoch": "1178668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727049600000",
    "number": "1164636288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4152 CANAL STREET",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "70119",
            "telephone_number": "504-482-2130",
            "fax_number": "504-482-1922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "823 CARROLL STREET",
            "address_2": "SUITE B",
            "city": "MANDEVILLE",
            "state": "LA",
            "postal_code": "70448",
            "telephone_number": "985-674-0488",
            "fax_number": "504-647-0336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VOLUNTEERS OF AMERICA SOUTHEAST LOUISIANA, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "VOLUNTEERS OF AMERICA SOUTHEAST LOUISIANA, INC.",
        "enumeration_date": "2007-05-09",
        "last_updated": "2024-09-23",
        "certification_date": "2024-09-23",
        "status": "A",
        "authorized_official_last_name": "BURT",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "EVP OF ENTERPRISE & ADMINISTRATION",
        "authorized_official_telephone_number": "504-486-8674"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "LA",
            "license": "6786",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1712728",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Volunteers of America Greater New Orleans, Inc.",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "PCA - Northshore",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Mandeville, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2024; 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.