Active NPI
Community Care Solutions, Inc.
- Point of Service
- New Orleans, LA
National Provider Identifier
1215396304
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Point of Service
- License
- 007603784
- Legal business name
- COMMUNITY CARE SOLUTIONS, INC.
- Practice address
- 200 S Broad St Ste 7
New Orleans, LA 70119-6447 - Phone
- (504) 344-4341
- NPI assigned
- Feb 17, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Kendra Annelle Clark
- Title
- MHP
- Phone
- (504) 344-4341
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | LA | ||
| Health Maintenance Organization | 302R00000X | LA | ||
| Point of Service | 305S00000X | 007603784 | LA | Primary |
Addresses
Primary practice location
200 S Broad St Ste 7
New Orleans, LA 70119-6447
Mailing address
200 S Broad St Ste 7
New Orleans, LA 70119-6447
Phone (504) 344-4341
National Provider Directory
National Provider Directory- Tax ID family
- 200 South Broad St Suite 7
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Community/Behavioral Health Agency
- New Orleans, LA
- NPI 1538597893
Locations
200 S Broad St
Ste 7
New Orleans, LA 70119
Phone (504) 309-9991
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1455667200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1455667200000",
"number": "1215396304",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 S BROAD ST STE 7",
"city": "NEW ORLEANS",
"state": "LA",
"postal_code": "701196447",
"telephone_number": "504-344-4341"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 S BROAD ST STE 7",
"city": "NEW ORLEANS",
"state": "LA",
"postal_code": "701196447",
"telephone_number": "504-344-4341"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COMMUNITY CARE SOLUTIONS, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2016-02-17",
"last_updated": "2016-02-17",
"status": "A",
"authorized_official_last_name": "CLARK",
"authorized_official_first_name": "KENDRA",
"authorized_official_middle_name": "ANNELLE",
"authorized_official_title_or_position": "MHP",
"authorized_official_telephone_number": "504-344-4341",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "LA",
"license": null,
"primary": false
},
{
"code": "302R00000X",
"taxonomy_group": "",
"desc": "Health Maintenance Organization",
"state": "LA",
"license": null,
"primary": false
},
{
"code": "305S00000X",
"taxonomy_group": "",
"desc": "Point of Service",
"state": "LA",
"license": "007603784",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New Orleans, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.