Organization Active NPI

McCorkle Sunrise Pca/Sil,LLC

  • Personal Care Attendant
  • Baton Rouge, LA
National Provider Identifier
1326298258
Registry record updated Sep 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Personal Care AttendantTaxonomy code 3747P1801X
Legal business name
MCCORKLE SUNRISE PCA/SIL,LLC
Practice address
7262 Poinsettia Dr
Baton Rouge, LA 70812-1861
Phone
(225) 288-6931
Fax
(225) 935-2209
NPI assigned
Sep 29, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2008

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

Authorized official

Name
Patricia Ann McCorkle
Title
General Manager /Owner
Phone
(225) 935-2208

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Personal Care AttendantGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 3747P1801X Primary

Addresses

Primary practice location

7262 Poinsettia Dr
Baton Rouge, LA 70812-1861

Mailing address

2036 Wooddale Blvd
Suite M
Baton Rouge, LA 70806-1518
Phone (225) 935-2208

Other identifiers 1

IdentifierTypeStateIssuer
1126420MedicaidLA

Other names 1

  • McCorkle Sunrise,LLC Other name

National Provider Directory

National Provider Directory
Tax ID family
McCorkle Sunrise Pcasilllc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

NPI Registry JSON

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

{
    "created_epoch": "1222646400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222646400000",
    "number": "1326298258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2036 WOODDALE BLVD",
            "address_2": "SUITE M",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708061518",
            "telephone_number": "225-935-2208",
            "fax_number": "225-935-2209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7262 POINSETTIA DR",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708121861",
            "telephone_number": "225-288-6931",
            "fax_number": "225-935-2209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCCORKLE SUNRISE PCA/SIL,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-29",
        "last_updated": "2008-09-29",
        "status": "A",
        "authorized_official_last_name": "MCCORKLE",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "GENERAL MANAGER /OWNER",
        "authorized_official_telephone_number": "225-935-2208"
    },
    "taxonomies": [
        {
            "code": "3747P1801X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Technician, Personal Care Attendant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1126420",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "McCorkle Sunrise,LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Sep 29, 2008; 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.