NPIMap

Organization Active NPI

Louisiana Step Up Organization

  • Attendant Care Provider
  • Kentwood, LA
National Provider Identifier
1306433685
Registry record updated Dec 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Attendant Care ProviderTaxonomy code 3747A0650X
Legal business name
LOUISIANA STEP UP ORGANIZATION
Practice address
412 7TH St
Kentwood, LA 70444-2308
Phone
(888) 203-1417
Fax
(985) 284-4697
NPI assigned
Dec 21, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2020

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

Authorized official

Name
Tamika DickersonNPI 1174009351
Title
Director
Phone
(985) 514-6900

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X
In Home Supportive Care Agency 253Z00000X
Adult Mental Health Clinic/Center 261QM0850X
Attendant Care ProviderGroup: 193200000X MULTI-SPECIALTY GROUP 3747A0650X Primary

Addresses

Primary practice location

412 7TH St
Kentwood, LA 70444-2308

Mailing address

PO Box 3961
Baton Rouge, LA 70821-3961
Phone (888) 203-1417

Other names 1

  • LA Step Up Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1608508800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1608508800000",
    "number": "1306433685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3961",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708213961",
            "telephone_number": "888-203-1417",
            "fax_number": "985-284-4697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "412 7TH ST",
            "city": "KENTWOOD",
            "state": "LA",
            "postal_code": "704442308",
            "telephone_number": "888-203-1417",
            "fax_number": "985-284-4697"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOUISIANA STEP UP ORGANIZATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-21",
        "last_updated": "2020-12-21",
        "certification_date": "2020-12-21",
        "status": "A",
        "authorized_official_last_name": "DICKERSON",
        "authorized_official_first_name": "TAMIKA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "985-514-6900"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3747A0650X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician, Attendant Care Provider",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LA Step Up",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kentwood, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 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.