NPIMap

Organization Active NPI

1St Calebs Sil & Pca Restoration Inc

  • Community Based Hospice Care Agency
  • Baton Rouge, LA
National Provider Identifier
1306063771
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
License
6982 Issued in LA
Legal business name
1ST CALEBS SIL & PCA RESTORATION INC
Practice address
5700 Florida Blvd Ste 707
Baton Rouge, LA 70806-4280
Phone
(225) 923-2828
Fax
(225) 923-2829
NPI assigned
Apr 19, 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. Taree Tremaine Brown
Title
President
Phone
(225) 923-2828

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X 6982 LA Primary

Addresses

Primary practice location

5700 Florida Blvd Ste 707
Baton Rouge, LA 70806-4280

Mailing address

5700 Florida Blvd Ste 707
Baton Rouge, LA 70806-4280
Phone (225) 923-2828

Other identifiers 3

IdentifierTypeStateIssuer
1509361MedicaidLA
1584819MedicaidLA
1509302MedicaidLA

National Provider Directory

National Provider Directory
Tax ID family
1St Calebs Sil Pca Restoration Inc4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

Ownership & related parties

Subparts reporting this organization as parent 3

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

NPI Registry JSON

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

{
    "created_epoch": "1176940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1306063771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5700 FLORIDA BLVD STE 707",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708064280",
            "telephone_number": "225-923-2828",
            "fax_number": "225-923-2829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5700 FLORIDA BLVD STE 707",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708064280",
            "telephone_number": "225-923-2828",
            "fax_number": "225-923-2829"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "1ST CALEBS SIL & PCA RESTORATION INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "TAREE",
        "authorized_official_middle_name": "TREMAINE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "225-923-2828",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "LA",
            "license": "6982",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1509361",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1584819",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1509302",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 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.