NPIMap

Organization Active NPI

Premier Services of Louisiana

  • Community/Behavioral Health Agency
  • Baton Rouge, LA
National Provider Identifier
1194950956
Registry record updated May 22, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
1371548 Issued in LA
Legal business name
PREMIER SERVICES OF LOUISIANA
Practice address
921 Lobdell
Baton Rouge, LA 70806
Phone
(225) 930-0051
Fax
(225) 930-0076
NPI assigned
May 22, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 22, 2009

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

Authorized official

Name
Paula Lanise Clemons
Title
Administrator
Phone
(225) 930-0051

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 1371548 LA Primary

Addresses

Primary practice location

921 Lobdell
Baton Rouge, LA 70806

Mailing address

921 Lobdell
Baton Rouge, LA 70806
Phone (225) 930-0051

Other identifiers 1

IdentifierTypeStateIssuer
1371548MedicaidLA

National Provider Directory

National Provider Directory
Tax ID family
Premier Services3 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.

Locations

921 Lobdell Blvd
Baton Rouge, LA 70806
Phone (225) 930-0051

NPI Registry JSON

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

{
    "created_epoch": "1242950400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1242950400000",
    "number": "1194950956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "921 LOBDELL",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "70806",
            "telephone_number": "225-930-0051",
            "fax_number": "225-930-0076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "921 LOBDELL",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "70806",
            "telephone_number": "225-930-0051",
            "fax_number": "225-930-0076"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER SERVICES OF LOUISIANA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-22",
        "last_updated": "2009-05-22",
        "status": "A",
        "authorized_official_last_name": "CLEMONS",
        "authorized_official_first_name": "PAULA",
        "authorized_official_middle_name": "LANISE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "225-930-0051"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "LA",
            "license": "1371548",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1371548",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Baton Rouge, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2009; 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.