Matthew 2540 Corporation

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

184 Issued in LA

Legal business name

MATTHEW 2540 CORPORATION

Doing business as

Nepenthe House

Practice address

1414 Martha St
Lake Charles, LA 70601-2440

Phone

(337) 439-3061

Fax

(337) 439-4279

NPI assigned

Feb 24, 2012

Organization subpart

No

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

Authorized official

Name

Bradley Higginbotham, BSW, MSSA

Title

Executive Director

Phone

(337) 439-3061

Specialties & licenses 1

Addresses

Other names 1

• Nepenthe House Doing business as

Locations

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

{
    "created_epoch": "1330041600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1330041600000",
    "number": "1164796033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1414 MARTHA ST",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706012440",
            "telephone_number": "337-439-3061",
            "fax_number": "337-439-4279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1414 MARTHA ST",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706012440",
            "telephone_number": "337-439-3061",
            "fax_number": "337-439-4279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MATTHEW 2540 CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-24",
        "last_updated": "2012-02-24",
        "status": "A",
        "authorized_official_last_name": "HIGGINBOTHAM",
        "authorized_official_first_name": "BRADLEY",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "337-439-3061",
        "authorized_official_credential": "BSW, MSSA"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "LA",
            "license": "184",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Nepenthe House",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Masse Chiropractic Clinic
• John Clifton Masse, DC
• Daphne Marie Massey, MD
• Mayance Joseph Mathieu Jr., MA., LPC
• Kimberly Anne Mathis, BS
• Lacitta Matthews, MSW
• Latisha Matthews
• Kristy Cecile Matton
• Shewanna Mattox
• Maureen a Olivier M.D. (Olivier Dermatology)

• Community/Behavioral Health Agency in Lake Charles, LA
• Providers in Lake Charles, LA by specialty
• Community/Behavioral Health Agency in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2012; 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.