NPIMap

Organization Active NPI

United Cerebral Palsy of Gno Ince

  • Developmentally Disabled Services Day Training Agency
  • Kenner, LA
National Provider Identifier
1235262486
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
License
PCA 8031 Issued in LA
Legal business name
UNITED CEREBRAL PALSY OF GNO INCE
Practice address
2200 Veterans Memorial Blvd
Suite 103
Kenner, LA 70062-4001
Phone
(504) 461-4266
Fax
(504) 461-9976
NPI assigned
Mar 14, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Jo Bugg
Title
Executive Director
Phone
(504) 461-4266

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X PCA 8031 LA Primary

Addresses

Primary practice location

2200 Veterans Memorial Blvd
Suite 103
Kenner, LA 70062-4001

Mailing address

2200 Veterans Memorial Blvd
Suite 103
Kenner, LA 70062-4001
Phone (504) 461-4266

Other identifiers 4

IdentifierTypeStateIssuer
1833070MedicaidLA
1915874MedicaidLA
1918041MedicaidLA
1918067MedicaidLA

National Provider Directory

National Provider Directory
Tax ID family
United Cerebral Palsy of Gno Inc7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

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": "1173830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1235262486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 VETERANS MEMORIAL BLVD",
            "address_2": "SUITE 103",
            "city": "KENNER",
            "state": "LA",
            "postal_code": "700624001",
            "telephone_number": "504-461-4266",
            "fax_number": "504-461-9976"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 VETERANS MEMORIAL BLVD",
            "address_2": "SUITE 103",
            "city": "KENNER",
            "state": "LA",
            "postal_code": "700624001",
            "telephone_number": "504-461-4266",
            "fax_number": "504-461-9976"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNITED CEREBRAL PALSY OF GNO INCE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BUGG",
        "authorized_official_first_name": "JO",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "504-461-4266",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "LA",
            "license": "PCA 8031",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1833070",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1915874",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1918041",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1918067",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kenner, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.