NPIMap

Organization Active NPI

Kennise Reed

Doing business as Jubilee Respite Services

  • Custodial Care Facility
  • New Orleans, LA
National Provider Identifier
1255589545
Registry record updated Aug 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Custodial Care FacilityTaxonomy code 311Z00000X
License
15410 Issued in LA
Legal business name
KENNISE REED
Doing business as
Jubilee Respite Services
Practice address
4480 General Degaulle Dr
Ste 114
New Orleans, LA 70131-6941
Phone
(504) 394-7700
NPI assigned
Aug 29, 2008
Last updated
Aug 29, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2008

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

Authorized official

Name
Kennise Reed
Title
Director
Phone
(504) 394-7700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Custodial Care Facility 311Z00000X 15410 LA Primary

Addresses

Primary practice location

4480 General Degaulle Dr
Ste 114
New Orleans, LA 70131-6941

Mailing address

4480 General Degaulle Dr
Ste 114
New Orleans, LA 70131-6941
Phone (504) 394-7700

Other identifiers 1

IdentifierTypeStateIssuer
1407074503MedicaidLA

Other names 1

  • JUBILEE RESPITE SERVICES Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Jubilee Respite Services5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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": "1219968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219968000000",
    "number": "1255589545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4480 GENERAL DEGAULLE DR",
            "address_2": "STE 114",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701316941",
            "telephone_number": "504-394-7700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4480 GENERAL DEGAULLE DR",
            "address_2": "STE 114",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701316941",
            "telephone_number": "504-394-7700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENNISE REED",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-29",
        "last_updated": "2008-08-29",
        "status": "A",
        "authorized_official_last_name": "REED",
        "authorized_official_first_name": "KENNISE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "504-394-7700"
    },
    "taxonomies": [
        {
            "code": "311Z00000X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility",
            "state": "LA",
            "license": "15410",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1407074503",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "JUBILEE RESPITE SERVICES",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in New Orleans, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2008; 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.