Organization Active NPI

Interlink Homeand Community Based Waiver

  • Case Management Agency
  • La Place, LA
National Provider Identifier
1225219298
Registry record updated Nov 19, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
INTERLINK HOMEAND COMMUNITY BASED WAIVER
Practice address
75 Dominican Rd
Suite 201
La Place, LA 70068-3400
Phone
(985) 652-1847
Fax
(985) 652-1897
NPI assigned
Nov 19, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2007

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

Authorized official

Name
Paige Ann Okpalobi
Title
Administrator
Phone
(985) 652-1847

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X Primary

Addresses

Primary practice location

75 Dominican Rd
Suite 201
La Place, LA 70068-3400

Mailing address

75 Dominican Rd
Suite 201
La Place, LA 70068-3400
Phone (985) 652-1847

Other identifiers 1

IdentifierTypeStateIssuer
APPLIED FORMedicaidLA

National Provider Directory

National Provider Directory
Tax ID family
Interlink Health Care Home and Community Based Waiver2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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": "1195430400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1195430400000",
    "number": "1225219298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 DOMINICAN RD",
            "address_2": "SUITE 201",
            "city": "LA PLACE",
            "state": "LA",
            "postal_code": "700683400",
            "telephone_number": "985-652-1847",
            "fax_number": "985-652-1897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 DOMINICAN RD",
            "address_2": "SUITE 201",
            "city": "LA PLACE",
            "state": "LA",
            "postal_code": "700683400",
            "telephone_number": "985-652-1847",
            "fax_number": "985-652-1897"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERLINK HOMEAND COMMUNITY BASED WAIVER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-19",
        "last_updated": "2007-11-19",
        "status": "A",
        "authorized_official_last_name": "OKPALOBI",
        "authorized_official_first_name": "PAIGE",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "985-652-1847"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "APPLIED FOR",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in La Place, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 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.