Organization Active NPI

Comprehensive Social Resources LTD

  • Point of Service
  • Kenner, LA
National Provider Identifier
1174743900
Registry record updated May 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Point of ServiceTaxonomy code 305S00000X
License
PCA6808 Issued in LA
Legal business name
COMPREHENSIVE SOCIAL RESOURCES LTD
Practice address
819 Veterans Memorial Blvd
Suite 205
Kenner, LA 70062-5172
Phone
(504) 466-6067
Fax
(504) 466-6068
NPI assigned
Apr 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 6, 2008

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

Authorized official

Name
Mrs. Delphine J. Annan
Title
Administrator
Phone
(504) 466-6067

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Point of Service 305S00000X PCA6808 LA Primary

Addresses

Primary practice location

819 Veterans Memorial Blvd
Suite 205
Kenner, LA 70062-5172

Mailing address

819 Veterans Blvd
Suite 205
Kenner, LA 70062-5172
Phone (504) 466-6067

Other identifiers 2

IdentifierTypeStateIssuer
1174955MedicaidLA
1556874MedicaidLA

National Provider Directory

National Provider Directory
Tax ID family
Comprehensive Social Resources LTD2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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": "1177545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210032000000",
    "number": "1174743900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "819 VETERANS BLVD",
            "address_2": "SUITE 205",
            "city": "KENNER",
            "state": "LA",
            "postal_code": "700625172",
            "telephone_number": "504-466-6067",
            "fax_number": "504-466-6068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "819 VETERANS MEMORIAL BLVD",
            "address_2": "SUITE 205",
            "city": "KENNER",
            "state": "LA",
            "postal_code": "700625172",
            "telephone_number": "504-466-6067",
            "fax_number": "504-466-6068"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPREHENSIVE SOCIAL RESOURCES LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-26",
        "last_updated": "2008-05-06",
        "status": "A",
        "authorized_official_last_name": "ANNAN",
        "authorized_official_first_name": "DELPHINE",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "504-466-6067",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": "LA",
            "license": "PCA6808",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1174955",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1556874",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kenner, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 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.