NPIMap

Organization Active NPI

Lee Ann'S Assisted Living

  • Attendant Care Provider
  • Plaquemine, LA
National Provider Identifier
1215157698
Registry record updated Jun 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Attendant Care ProviderTaxonomy code 3747A0650X
License
7162 Issued in LA
Legal business name
LEE ANN'S ASSISTED LIVING
Practice address
57835 Haase St
Plaquemine, LA 70764-3329
Phone
(225) 687-8137
Fax
(225) 687-6311
NPI assigned
Apr 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2008

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

Authorized official

Name
Mrs. Lee Ann Haggens
Title
Owner
Phone
(225) 687-8137

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Attendant Care ProviderGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 3747A0650X 7162 LA Primary

Addresses

Primary practice location

57835 Haase St
Plaquemine, LA 70764-3329

Mailing address

57835 Haase St
P O Box 1422
Plaquemine, LA 70764-3329
Phone (225) 687-8137

Other identifiers 3

IdentifierTypeStateIssuer
1031119MedicaidLA
1024503MedicaidLA
1008702MedicaidLA

National Provider Directory

National Provider Directory
Tax ID family
Lee Ann'S Assisted Living3 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.

NPI Registry JSON

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

{
    "created_epoch": "1177545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213574400000",
    "number": "1215157698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "57835 HAASE ST",
            "address_2": "P O BOX 1422",
            "city": "PLAQUEMINE",
            "state": "LA",
            "postal_code": "707643329",
            "telephone_number": "225-687-8137",
            "fax_number": "225-687-6311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "57835 HAASE ST",
            "city": "PLAQUEMINE",
            "state": "LA",
            "postal_code": "707643329",
            "telephone_number": "225-687-8137",
            "fax_number": "225-687-6311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEE ANN'S ASSISTED LIVING",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-26",
        "last_updated": "2008-06-16",
        "status": "A",
        "authorized_official_last_name": "HAGGENS",
        "authorized_official_first_name": "LEE",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "225-687-8137",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "3747A0650X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Technician, Attendant Care Provider",
            "state": "LA",
            "license": "7162",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1031119",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1024503",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1008702",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Plaquemine, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2008; 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.