Hammond Tangipahoa Juneteenth

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

License

4127 Issued in LA

Legal business name

HAMMOND TANGIPAHOA JUNETEENTH

Doing business as

IRash ADHC Center

Practice address

311 E Michigan St
Hammond, LA 70401-2650

Phone

(985) 510-0129

Fax

(985) 345-2844

NPI assigned

Aug 21, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Geraldine L Young

Title

Admin

Phone

(985) 510-0129

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• IRash ADHC Center Doing business as

Locations

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

{
    "created_epoch": "1187654400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1187654400000",
    "number": "1205029535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 W ALABAMA AVE",
            "city": "HAMMOND",
            "state": "LA",
            "postal_code": "704033913",
            "telephone_number": "985-510-0129",
            "fax_number": "985-345-2844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 E MICHIGAN ST",
            "city": "HAMMOND",
            "state": "LA",
            "postal_code": "704012650",
            "telephone_number": "985-510-0129",
            "fax_number": "985-345-2844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAMMOND TANGIPAHOA JUNETEENTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-21",
        "last_updated": "2007-08-21",
        "status": "A",
        "authorized_official_last_name": "YOUNG",
        "authorized_official_first_name": "GERALDINE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "ADMIN",
        "authorized_official_telephone_number": "985-510-0129",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "LA",
            "license": "4127",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1119776",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "IRash ADHC Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Adult Care Home Facility in Hammond, LA
• Providers in Hammond, LA by specialty
• Adult Care Home Facility in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 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.