In His Hands of BR, LLC

Primary specialty

Non-emergency Medical Transport (VAN)Taxonomy code 343900000X

License

1817422 Issued in LA

Legal business name

IN HIS HANDS OF BR, LLC

Practice address

21745 Samuels Rd
Zachary, LA 70791-6817

Phone

(225) 658-6860

Fax

(225) 685-4625

NPI assigned

Mar 10, 2010

Organization subpart

Yes

Parent organization

IN HIS HANDSAs reported in NPPES

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

Authorized official

Name

Ms. Debra Denise Jackson, CEO

Title

Director

Phone

(225) 485-9111

Specialties & licenses 1

Addresses

Other identifiers 1

Part of

In His Hands of BR LLC

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

{
    "created_epoch": "1268179200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1268179200000",
    "number": "1285957829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21745 SAMUELS RD",
            "city": "ZACHARY",
            "state": "LA",
            "postal_code": "707916817",
            "telephone_number": "225-658-6860",
            "fax_number": "225-685-4625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21745 SAMUELS RD",
            "city": "ZACHARY",
            "state": "LA",
            "postal_code": "707916817",
            "telephone_number": "225-658-6860",
            "fax_number": "225-685-4625"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IN HIS HANDS OF BR, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "IN HIS HANDS",
        "enumeration_date": "2010-03-10",
        "last_updated": "2010-03-10",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "DEBRA",
        "authorized_official_middle_name": "DENISE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "225-485-9111",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "CEO"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "LA",
            "license": "1817422",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1817422",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Non-emergency Medical Transport (VAN) in Zachary, LA
• Providers in Zachary, LA by specialty
• Non-emergency Medical Transport (VAN) in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2010; 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.