NPIMap

Organization Active NPI

Parishes Supportive Living, Inc.

  • Nursing Care Agency
  • Ponchatoula, LA
National Provider Identifier
1275748071
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Care AgencyTaxonomy code 251J00000X
License
10583 Issued in LA
Legal business name
PARISHES SUPPORTIVE LIVING, INC.
Practice address
112 S 3Rd St
Ponchatoula, LA 70454-2602
Phone
(985) 386-0898
Fax
(985) 370-5788
NPI assigned
May 14, 2007
Last updated
Aug 22, 2020By the provider in NPPES
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
Mr. Corey Vining
Title
Cfo
Phone
(985) 386-0898

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Care Agency 251J00000X 10583 LA Primary

Addresses

Primary practice location

112 S 3Rd St
Ponchatoula, LA 70454-2602

Mailing address

112 S 3Rd St
Ponchatoula, LA 70454-2602
Phone (985) 386-0898

Other identifiers 1

IdentifierTypeStateIssuer
1173487MedicaidLA

National Provider Directory

National Provider Directory
Tax ID family
Parishes Supportive Living17 organizations share this tax ID, including this one

Other organizations with this tax ID 16

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

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1179100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1275748071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 S 3RD ST",
            "city": "PONCHATOULA",
            "state": "LA",
            "postal_code": "704542602",
            "telephone_number": "985-386-0898",
            "fax_number": "985-370-5788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 S 3RD ST",
            "city": "PONCHATOULA",
            "state": "LA",
            "postal_code": "704542602",
            "telephone_number": "985-386-0898",
            "fax_number": "985-370-5788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARISHES SUPPORTIVE LIVING, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "VINING",
        "authorized_official_first_name": "COREY",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "985-386-0898",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "LA",
            "license": "10583",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1173487",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ponchatoula, 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.