NPIMap

Organization Active NPI

Reliable Pca and Respite Care

  • Nursing Care Agency
  • Marrero, LA
National Provider Identifier
1194907436
Registry record updated Nov 28, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Care AgencyTaxonomy code 251J00000X
License
10252 Issued in LA
Legal business name
RELIABLE PCA AND RESPITE CARE
Practice address
2380 Barataria Blvd
Marrero, LA 70072-5459
Phone
(504) 340-5306
Fax
(504) 328-7677
NPI assigned
Nov 28, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2007

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

Authorized official

Name
Mrs. Quentina Dawson
Title
Program Director
Phone
(504) 340-5306

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Care Agency 251J00000X 10252 LA Primary

Addresses

Primary practice location

2380 Barataria Blvd
Marrero, LA 70072-5459

Mailing address

2380 Barataria Blvd
Marrero, LA 70072-5459
Phone (504) 340-5306

Other identifiers 1

IdentifierTypeStateIssuer
1172391MedicaidLA

National Provider Directory

National Provider Directory
Tax ID family
Reliable Pca and Respite 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.

Locations

2380 Barataria Blvd
Marrero, LA 70072
Phone (504) 340-5306

NPI Registry JSON

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

{
    "created_epoch": "1196208000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196208000000",
    "number": "1194907436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2380 BARATARIA BLVD",
            "city": "MARRERO",
            "state": "LA",
            "postal_code": "700725459",
            "telephone_number": "504-340-5306",
            "fax_number": "504-328-7677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2380 BARATARIA BLVD",
            "city": "MARRERO",
            "state": "LA",
            "postal_code": "700725459",
            "telephone_number": "504-340-5306",
            "fax_number": "504-328-7677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RELIABLE PCA AND RESPITE CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-28",
        "last_updated": "2007-11-28",
        "status": "A",
        "authorized_official_last_name": "DAWSON",
        "authorized_official_first_name": "QUENTINA",
        "authorized_official_title_or_position": "PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "504-340-5306",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "LA",
            "license": "10252",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1172391",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Marrero, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 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.