NPIMap

Organization Active NPI

Volunteers of America of North Louisiana

  • Developmentally Disabled Services Day Training Agency
  • Shreveport, LA
National Provider Identifier
1245351998
Registry record updated Sep 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
License
8146 Issued in LA
Legal business name
VOLUNTEERS OF AMERICA OF NORTH LOUISIANA
Practice address
1554 Magnolia Ave
Room A203
Shreveport, LA 71101
Phone
(318) 213-1654
Fax
(318) 429-6929
NPI assigned
Apr 2, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2020

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

Authorized official

Name
Mr. Charles Meehan
Title
President/Ceo
Phone
(318) 221-2669

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X 8146 LA Primary

Addresses

Primary practice location

1554 Magnolia Ave
Room A203
Shreveport, LA 71101

Mailing address

360 Jordan Streeet
Shreveport, LA 71101
Phone (318) 221-2669

Other identifiers 2

IdentifierTypeStateIssuer
1912743MedicaidLA
1929018MedicaidLA

National Provider Directory

National Provider Directory
Tax ID family
Volunteers of America13 organizations share this tax ID, including this one

Other organizations with this tax ID 12

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1554 Magnolia Ave
Rm A203
Shreveport, LA 71101
Phone (318) 213-1654

NPI Registry JSON

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

{
    "created_epoch": "1175472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1599609600000",
    "number": "1245351998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "360 JORDAN STREEET",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "71101",
            "telephone_number": "318-221-2669",
            "fax_number": "318-429-7502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1554 MAGNOLIA AVE",
            "address_2": "ROOM A203",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "71101",
            "telephone_number": "318-213-1654",
            "fax_number": "318-429-6929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VOLUNTEERS OF AMERICA OF NORTH LOUISIANA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-02",
        "last_updated": "2020-09-09",
        "certification_date": "2020-09-09",
        "status": "A",
        "authorized_official_last_name": "MEEHAN",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "318-221-2669",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "LA",
            "license": "8146",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1912743",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1929018",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Shreveport, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 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.