Abide Family Support Services
Organization Active NPI Developmentally Disabled Services Day Training Agency · La Place, LA
NPI 1306031380 · NPPES record last updated Feb 5, 2008
Key facts
- NPI
- 1306031380
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Developmentally Disabled Services Day Training Agency 251C00000X
- License
- 14012 (LA)
- Legal business name
- ABIDE FAMILY SUPPORT SERVICES
- Practice address
- 554 Belle Terre Blvd
Suite B
La Place, LA 70068-1715 - Phone
- (985) 359-2527
- Fax
- (985) 359-4102
- NPI assigned
- Sep 12, 2007
- Organization subpart
- No
Authorized official
- Name
- Ms. Lisa A Crinel
- Title
- Chief Executive Officer
- Phone
- (985) 359-2527
Corporate family (same tax ID) 4
National Provider Directory
- Tax ID family
- Abide Family Support Services
Locations
554 Belle Terre Blvd
Ste B
La Place, LA 70068
Phone (985) 359-2527
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Developmentally Disabled Services Day Training Agency | 251C00000X | 14012 | LA | Yes |
| Community/Behavioral Health Agency | 251S00000X | PCA 14012 | LA |
Addresses
Primary practice location
554 Belle Terre Blvd
Suite B
La Place, LA 70068-1715
Mailing address
554 Belle Terre Blvd
Suite B
La Place, LA 70068-1715
Phone (985) 359-2527
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1024473 | Medicaid | LA |
NPI Registry JSON
{
"created_epoch": "1189555200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1202169600000",
"number": "1306031380",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "554 BELLE TERRE BLVD",
"address_2": "SUITE B",
"city": "LA PLACE",
"state": "LA",
"postal_code": "700681715",
"telephone_number": "985-359-2527",
"fax_number": "985-359-4102"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "554 BELLE TERRE BLVD",
"address_2": "SUITE B",
"city": "LA PLACE",
"state": "LA",
"postal_code": "700681715",
"telephone_number": "985-359-2527",
"fax_number": "985-359-4102"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ABIDE FAMILY SUPPORT SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2007-09-12",
"last_updated": "2008-02-05",
"status": "A",
"authorized_official_last_name": "CRINEL",
"authorized_official_first_name": "LISA",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
"authorized_official_telephone_number": "985-359-2527",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "251C00000X",
"taxonomy_group": "",
"desc": "Day Training, Developmentally Disabled Services",
"state": "LA",
"license": "14012",
"primary": true
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "LA",
"license": "PCA 14012",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1024473",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}Other providers in La Place, LA
- A Helping Hand Care Services, LLC
- A Mothers Touch
- Ashley Aaron
- Heather Abadie
- Abide Family Support Services
- Abide Family Support Services
- Abilities First, Inc
- Abilities First, Inc
- Abilities First, Inc
- Abilities First, Inc
All providers in La Place, LA · Developmentally Disabled Services Day Training Agency in Louisiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 5, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.