Organization Active NPI

Advanced Personal Care Services, Inc.

  • Developmentally Disabled Services Day Training Agency
  • Gretna, LA
National Provider Identifier
1194933804
Registry record updated Dec 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
License
SIL11548 Issued in LA
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.

National Provider Directory

Tax ID family
Advanced Personal Care Services Inc (5 organizations share this tax ID)

Locations

3501 Holiday Dr
Ste 401
New Orleans, LA 70114

Specialties & licenses 2

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X SIL11548 LA Primary
Home Health Agency 251E00000X

Addresses

NPPES NPI Registry

Primary 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
IdentifierTypeStateIssuer
1722707MedicaidLA

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

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.

Verify at the official NPI Registry.