Abilicare
Organization Active NPI Specialist · Metairie, LA
NPI 1235320797 · NPPES record last updated Aug 8, 2007
Key facts
- NPI
- 1235320797
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Specialist 174400000X
- License
- 1108243 (LA)
- Legal business name
- ABILICARE
- Practice address
- 7809 Airline Dr
Suite 204
Metairie, LA 70003-6439 - Phone
- (504) 739-1001
- Fax
- (504) 739-1002
- NPI assigned
- Aug 8, 2007
- Organization subpart
- No
Authorized official
- Name
- Yvette A Williams Jones, BSN, MSN, HCSM
- Title
- Administrator
- Phone
- (504) 739-1001
Corporate family (same tax ID) 1
National Provider Directory
- Tax ID family
- Abilicare
Locations
7809 Airline Dr
Ste 204
Metairie, LA 70003
Phone (504) 739-1001
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist |
174400000X | 1108243 | LA | Yes |
Addresses
Primary practice location
7809 Airline Dr
Suite 204
Metairie, LA 70003-6439
Mailing address
7809 Airline Dr
Suite 204
Metairie, LA 70003-6439
Phone (504) 739-1001
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1108103 | Medicaid | LA |
Other providers in Metairie, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.