Organization Active NPI

Rhonda Young

  • Case Management Agency
  • Shreveport, LA
National Provider Identifier
1316449671
Registry record updated Mar 2, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
License
1760852511 Issued in LA
Legal business name
RHONDA YOUNG
Practice address
3769 Mallard Bay Cir
Shreveport, LA 71107-9359
Phone
(516) 633-8891
NPI assigned
Mar 2, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2018

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

Authorized official

Name
Rhonda Young, COUNSELOR
Title
MHP
Phone
(516) 633-8891

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X 1760852511 LA Primary

Addresses

Primary practice location

3769 Mallard Bay Cir
Shreveport, LA 71107-9359

Mailing address

9403 Mansfield Rd
Shreveport, LA 71118-3815
Phone (318) 861-8938

Other names 1

  • Pelican Bayou Former legal business name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1519948800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1519948800000",
    "number": "1316449671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9403 MANSFIELD RD",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711183815",
            "telephone_number": "318-861-8938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3769 MALLARD BAY CIR",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711079359",
            "telephone_number": "516-633-8891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RHONDA YOUNG",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-02",
        "last_updated": "2018-03-02",
        "status": "A",
        "authorized_official_last_name": "YOUNG",
        "authorized_official_first_name": "RHONDA",
        "authorized_official_title_or_position": "MHP",
        "authorized_official_telephone_number": "516-633-8891",
        "authorized_official_credential": "COUNSELOR"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "LA",
            "license": "1760852511",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pelican Bayou",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Shreveport, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2018; 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.