Shekinah Glory Ministry of Baton Rouge

Primary specialty

Physical Disabilities Residential Treatment FacilityTaxonomy code 320700000X

License

PCA 12390 Issued in LA

Legal business name

SHEKINAH GLORY MINISTRY OF BATON ROUGE

Practice address

3613 Government St
Baton Rouge, LA 70806-5721

Phone

(225) 346-5225

Fax

(225) 346-5225

NPI assigned

Apr 19, 2007

Organization subpart

No

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

Authorized official

Name

Ms. Debra Denise Carter

Title

Pastor

Phone

(225) 924-4575

Specialties & licenses 2

Addresses

Other identifiers 1

Tax ID family

Shekinah Glory3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

• Shekinah Glory

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Baton Rouge, LA
  • NPI 1063609204
  NPD tax ID
• Shekinah Glory

  • Physical Disabilities Residential Treatment Facility
  • Baton Rouge, LA
  • NPI 1326235565
  NPD tax ID

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

{
    "created_epoch": "1176940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190678400000",
    "number": "1184841488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 53766",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708923766",
            "telephone_number": "225-924-4575",
            "fax_number": "225-924-4574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3613 GOVERNMENT ST",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708065721",
            "telephone_number": "225-346-5225",
            "fax_number": "225-346-5225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHEKINAH GLORY MINISTRY OF BATON ROUGE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-19",
        "last_updated": "2007-09-25",
        "status": "A",
        "authorized_official_last_name": "CARTER",
        "authorized_official_first_name": "DEBRA",
        "authorized_official_middle_name": "DENISE",
        "authorized_official_title_or_position": "PASTOR",
        "authorized_official_telephone_number": "225-924-4575",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "LA",
            "license": "SIL 12514",
            "primary": false
        },
        {
            "code": "320700000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Physical Disabilities",
            "state": "LA",
            "license": "PCA 12390",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1351407",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Leslie Kay Sheffield, M.D.
• Dribardha Shefkiu
• Drilona Shefkiu
• Shekinah Glory
• Shekinah Glory
• Elizabeth Shelby
• Latanya Mercedise Shellmire
• Maisa Eulana Shelmire, LCSW
• Sharon L Shelmire
• Barney Shelton Jr.

• Physical Disabilities Residential Treatment Facility in Baton Rouge, LA
• Providers in Baton Rouge, LA by specialty
• Physical Disabilities Residential Treatment Facility in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2007; 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.