NPIMap

Organization Active NPI

La Excel Care Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Baton Rouge, LA
National Provider Identifier
1205228335
Registry record updated Jun 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
LA EXCEL CARE INC
Practice address
4338 S Jeffrey Dr # 102
Baton Rouge, LA 70816-4196
Phone
(225) 361-0219
Fax
(225) 361-0483
NPI assigned
Feb 26, 2015
Last updated
Jun 29, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2023

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

Authorized official

Name
Dickson E Idusuyi Jr.
Title
Ownet
Phone
(225) 361-0219

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

4338 S Jeffrey Dr # 102
Baton Rouge, LA 70816-4196

Mailing address

4348 S Jeffrey Dr Ste 102
Baton Rouge, LA 70816-4196
Phone (225) 361-0219

Other names 1

  • Texas Excel Care Other name

National Provider Directory

National Provider Directory

Locations

2380 Oneal Ln
Ste B
Baton Rouge, LA 70816
Phone (225) 361-0219

4338 S Jeffrey Dr
#102
Baton Rouge, LA 70816
Phone (225) 361-0219

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 45

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 45

NPI Registry JSON

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

{
    "created_epoch": "1424908800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687996800000",
    "number": "1205228335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4348 S JEFFREY DR STE 102",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708164196",
            "telephone_number": "225-361-0219",
            "fax_number": "225-361-0483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4338 S JEFFREY DR # 102",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708164196",
            "telephone_number": "225-361-0219",
            "fax_number": "225-361-0483"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LA EXCEL CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-26",
        "last_updated": "2023-06-29",
        "certification_date": "2023-06-29",
        "status": "A",
        "authorized_official_last_name": "IDUSUYI",
        "authorized_official_first_name": "DICKSON",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNET",
        "authorized_official_telephone_number": "225-361-0219",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Texas Excel Care",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Jun 29, 2023; 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.