Organization Active NPI

Caravelle Care Inc.

  • Clinical Social Worker
  • Metairie, LA
National Provider Identifier
1245682848
Registry record updated Jul 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
CARAVELLE CARE INC.
Practice address
4300 S I 10 Service Rd W
Suite 102
Metairie, LA 70001-7405
Phone
(207) 450-3223
NPI assigned
Jul 7, 2016
Last updated
Jul 7, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2016

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

Authorized official

Name
Mr. Cullen Saintcross
Title
President
Phone
(207) 450-3223

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X
Psychologist 103T00000X
Social Worker 104100000X
Clinical Social Worker 1041C0700X Primary

Addresses

Primary practice location

4300 S I 10 Service Rd W
Suite 102
Metairie, LA 70001-7405

Mailing address

4300 S I 10 Service Rd W
Suite 102
Metairie, LA 70001-7405

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160908002970 LA Part B Supplier - Clinic/Group Practice 7416243985 Receives reassigned benefits from 11 practitioners
Practice locations: Metairie, LA; Mandeville, LA

National Provider Directory

National Provider Directory

Locations

206 S Tyler St
Ste C
Covington, LA 70433
Phone (504) 267-7324

4300 S I 10 Service Rd W
Ste 102
Metairie, LA 70001
Phone (504) 267-7324

Practitioners & affiliated clinicians

Practitioners 13

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1467849600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1467849600000",
    "number": "1245682848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4300 S I 10 SERVICE RD W",
            "address_2": "SUITE 102",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700017405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4300 S I 10 SERVICE RD W",
            "address_2": "SUITE 102",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700017405",
            "telephone_number": "207-450-3223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARAVELLE CARE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-07",
        "last_updated": "2016-07-07",
        "status": "A",
        "authorized_official_last_name": "SAINTCROSS",
        "authorized_official_first_name": "CULLEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "207-450-3223",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Metairie, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.