Active NPI
La Excelcare
- Case Management Agency
- Baton Rouge, LA
National Provider Identifier
1285245712
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Management Agency
- Legal business name
- LA EXCELCARE
- Doing business as
- La ExcelCare
- Practice address
- 4348 S Jeffrey Dr Ste 102
Baton Rouge, LA 70816-4196 - Phone
- (225) 361-0219
- NPI assigned
- Aug 10, 2020
- Organization subpart
- Yes
- Parent organization
- LA EXCEL CARE INC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Dickson Idusuyi
- Title
- Ceo
- Phone
- (225) 361-0219
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Management Agency | 251B00000X | Primary |
Addresses
Primary practice location
4348 S Jeffrey Dr Ste 102
Baton Rouge, LA 70816-4196
Mailing address
4348 S Jeffrey Dr Ste 102
Baton Rouge, LA 70816-4196
Phone (225) 361-0219
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 601016816 | Medicaid | LA |
Other names 1
- La ExcelCare
National Provider Directory
National Provider Directory- Part of
- La Excel Care Inc
Ownership & related parties
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Baton Rouge, LA
- NPI 1205228335
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Case Manager/Care Coordinator
- Baton Rouge, LA
- NPI 1992177034
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1597017600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1597017600000",
"number": "1285245712",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4348 S JEFFREY DR STE 102",
"city": "BATON ROUGE",
"state": "LA",
"postal_code": "708164196",
"telephone_number": "225-361-0219"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4348 S JEFFREY DR STE 102",
"city": "BATON ROUGE",
"state": "LA",
"postal_code": "708164196",
"telephone_number": "225-361-0219"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LA EXCELCARE",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "LA EXCEL CARE INC",
"enumeration_date": "2020-08-10",
"last_updated": "2020-08-10",
"certification_date": "2020-08-10",
"status": "A",
"authorized_official_last_name": "IDUSUYI",
"authorized_official_first_name": "DICKSON",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "225-361-0219",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "251B00000X",
"taxonomy_group": "",
"desc": "Case Management",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "601016816",
"state": "LA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "La ExcelCare",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Baton Rouge, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 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.