NPIMap

Organization Active NPI

Island Enterprises, Inc.

  • Developmentally Disabled Services Day Training Agency
  • Gonzales, LA
National Provider Identifier
1255469136
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
10358 Issued in LA
Legal business name
ISLAND ENTERPRISES, INC.
Practice address
1257 N Barman Ave
Gonzales, LA 70737-2440
Phone
(225) 644-6951
Fax
(225) 644-6593
NPI assigned
Mar 1, 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. Joann E Picou
Title
Owner
Phone
(225) 698-1500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X 10358 LA Primary

Addresses

Primary practice location

1257 N Barman Ave
Gonzales, LA 70737-2440

Mailing address

17321 Cline Dr
Maurepas, LA 70449-5128
Phone (225) 698-9379

Other identifiers 1

IdentifierTypeStateIssuer
1712841MedicaidLA

National Provider Directory

National Provider Directory
Tax ID family
Island Enterprises Inc8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

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": "1172707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1255469136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17321 CLINE DR",
            "city": "MAUREPAS",
            "state": "LA",
            "postal_code": "704495128",
            "telephone_number": "225-698-9379",
            "fax_number": "225-698-3651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1257 N BARMAN AVE",
            "city": "GONZALES",
            "state": "LA",
            "postal_code": "707372440",
            "telephone_number": "225-644-6951",
            "fax_number": "225-644-6593"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ISLAND ENTERPRISES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PICOU",
        "authorized_official_first_name": "JOANN",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "225-698-1500",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "LA",
            "license": "10358",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1712841",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gonzales, 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.