Organization Active NPI

Gulf Coast Teaching Family Services, Inc.

Doing business as Gulf Coast Social Services

  • Community/Behavioral Health Agency
  • Metairie, LA
National Provider Identifier
1316075500
Registry record updated Sep 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
RC6897 Issued in LA
Legal business name
GULF COAST TEACHING FAMILY SERVICES, INC.
Doing business as
Gulf Coast Social Services
Practice address
2400 Edenborn Ave
Metairie, LA 70001-1817
Phone
(504) 831-6561
Fax
(504) 365-1304
NPI assigned
Mar 1, 2007
Last updated
Sep 27, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2022

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

Authorized official

Name
Mr. Willie Green, MPA
Title
Ceo
Phone
(504) 831-6561

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X RC6897 LA Primary

Addresses

Primary practice location

2400 Edenborn Ave
Metairie, LA 70001-1817

Mailing address

2400 Edenborn Ave FL 2
Metairie, LA 70001-1817
Phone (504) 831-6561

Other identifiers 1

IdentifierTypeStateIssuer
1910694MedicaidLA

Other names 1

  • Gulf Coast Social Services Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Gulf Coast Teaching Family Services56 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

Locations

2400 Edenborn Ave
Fl 2
Metairie, LA 70001

NPI Registry JSON

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

{
    "created_epoch": "1172707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664236800000",
    "number": "1316075500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2400 EDENBORN AVE FL 2",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700011817",
            "telephone_number": "504-831-6561",
            "fax_number": "504-365-1304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 EDENBORN AVE",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700011817",
            "telephone_number": "504-831-6561",
            "fax_number": "504-365-1304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GULF COAST TEACHING FAMILY SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-01",
        "last_updated": "2022-09-27",
        "certification_date": "2022-09-27",
        "status": "A",
        "authorized_official_last_name": "GREEN",
        "authorized_official_first_name": "WILLIE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "504-831-6561",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MPA"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "LA",
            "license": "RC6897",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1910694",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gulf Coast Social Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Metairie, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2022; 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.