The City of New Orleans

Primary specialty

Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X

Legal business name

THE CITY OF NEW ORLEANS

Doing business as

Community Resource and Referral Center
Health Care for the Homeless CRRC

Practice address

1530 Gravier Street
New Orleans, LA 70112

Phone

(504) 658-2785

Fax

(504) 658-2874

NPI assigned

Jun 18, 2014

Last updated

Oct 15, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Tevince Forest

Title

Accountant

Phone

(504) 658-2576

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 2

• Community Resource and Referral Center Doing business as
• Health Care for the Homeless CRRC Doing business as

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1295149219. Details of each certification follow.

• CCN 191960 Federally qualified health center · Active · Name & address match · Details

Federally qualified health center certification: CCN 191960

Legal name

HEALTH CARE FOR THE HOMELESS VA-CRRC CLINIC

Certification status

Active

Provider type (POS)

Federally qualified health center

Participating since

Nov 22, 2016

Last certification

Nov 22, 2016

Ownership / control type

For profit – corporation

Facility address

1530 Gravier Street
New Orleans, LA 70112

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

{
    "created_epoch": "1403049600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1571097600000",
    "number": "1295149219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2222 SIMON BOLIVAR AVE FL 2",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701131460",
            "telephone_number": "504-658-2785",
            "fax_number": "504-658-2876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1530 GRAVIER STREET",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "70112",
            "telephone_number": "504-658-2785",
            "fax_number": "504-658-2874"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE CITY OF NEW ORLEANS",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-18",
        "last_updated": "2019-10-15",
        "status": "A",
        "authorized_official_last_name": "FOREST",
        "authorized_official_first_name": "TEVINCE",
        "authorized_official_title_or_position": "ACCOUNTANT",
        "authorized_official_telephone_number": "504-658-2576"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "LA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7260000969",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Community Resource and Referral Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Health Care for the Homeless CRRC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• The Center for Health and Healing LLC
• The Children's Bureau of New Orleans
• The Children's Bureau of New Orleans (Children's Bureau of New Orleans)
• The Chosen Nest Housing and Doula Support Service
• The Chosen Nest Housing and Doula Support Service
• The City of New Orleans-Health Care for the Homeless (Community Resource and Referral Center)
• The Clinic Nola
• The Complete Care Urgent Center, Inc
• The Conveyer Transportation Services LLC
• The Creed Group of Louisiana

• Federally Qualified Health Center (FQHC) in New Orleans, LA
• Providers in New Orleans, LA by specialty
• Federally Qualified Health Center (FQHC) in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.