Active NPI
Advanced Personal Care Services, Inc.
- Developmentally Disabled Services Day Training Agency
- Gretna, LA
National Provider Identifier
1194933804
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Developmentally Disabled Services Day Training Agency
- License
- SIL11548
- Legal business name
- ADVANCED PERSONAL CARE SERVICES, INC.
- Practice address
- 1800 Carol Sue Ave Ste 6
Gretna, LA 70056-4124 - Phone
- (504) 227-0773
- Fax
- (504) 227-0715
- NPI assigned
- May 18, 2007
- Organization subpart
- No
Authorized official
NPPES NPI Registry- Name
- Mrs. Deatra Monique Matthews
- Title
- Ceo
- Phone
- (504) 227-0773
Corporate family (same tax ID) 4
Organizations that report the same tax identification number in the National Provider Directory.
-
- Developmentally Disabled Services Day Training Agency
- Gretna, LA
- NPI 1003024712
-
- Developmentally Disabled Services Day Training Agency
- Gretna, LA
- NPI 1194936559
-
- Developmentally Disabled Services Day Training Agency
- Gretna, LA
- NPI 1477769701
-
- Developmentally Disabled Services Day Training Agency
- Gretna, LA
- NPI 1073646287
National Provider Directory
- Tax ID family
- Advanced Personal Care Services Inc
Locations
3501 Holiday Dr
Ste 401
New Orleans, LA 70114
Specialties & licenses 2
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Developmentally Disabled Services Day Training Agency | 251C00000X | SIL11548 | LA | Primary |
| Home Health Agency | 251E00000X |
Addresses
NPPES NPI RegistryPrimary practice location
1800 Carol Sue Ave Ste 6
Gretna, LA 70056-4124
Mailing address
1800 Carol Sue Ave Ste 6
Gretna, LA 70056-4124
Phone (504) 227-0773
Other identifiers 1
NPPES NPI Registry| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1722707 | Medicaid | LA |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Dec 9, 2024.
{
"created_epoch": "1179446400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1733702400000",
"number": "1194933804",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1800 CAROL SUE AVE STE 6",
"city": "GRETNA",
"state": "LA",
"postal_code": "700564124",
"telephone_number": "504-227-0773",
"fax_number": "504-227-0715"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1800 CAROL SUE AVE STE 6",
"city": "GRETNA",
"state": "LA",
"postal_code": "700564124",
"telephone_number": "504-227-0773",
"fax_number": "504-227-0715"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ADVANCED PERSONAL CARE SERVICES, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-18",
"last_updated": "2024-12-09",
"certification_date": "2024-12-09",
"status": "A",
"authorized_official_last_name": "MATTHEWS",
"authorized_official_first_name": "DEATRA",
"authorized_official_middle_name": "MONIQUE",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "504-227-0773",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "251C00000X",
"taxonomy_group": "",
"desc": "Day Training, Developmentally Disabled Services",
"state": "LA",
"license": "SIL11548",
"primary": true
},
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1722707",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Gretna, LA
- Catherine Suzzette Addison, LCSW
- Nefteria S Addison
- Advanced Hearing Aid Center,Inc
- Advanced Medical Center of Gretna
- Advanced Personal Care Services, Inc.
- Advanced Personal Care Services, Inc.
- Advanced Personal Care Services, Inc.
- Advanced Personal Care Services,Inc.
- Advantage Rehabilitation and Hand Specialty Center
- Advantage Rehabilitation and Hand Specialty Center
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 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.