Individual provider Active NPI

Dominic Nevil

  • Home Health Agency
  • New Orleans, LA
National Provider Identifier
1326596040
Registry record updated Sep 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
131524 Issued in LA
Practice address
4480 General Degaulle Dr Ste 119
802 Woodland Drive
New Orleans, LA 70131-6941
Phone
(504) 298-1001
NPI assigned
Sep 12, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 12, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 131524 LA Primary

Addresses

Primary practice location

4480 General Degaulle Dr Ste 119
802 Woodland Drive
New Orleans, LA 70131-6941

Mailing address

4480 General Degaulle Dr Ste 119
802 Woodland Drive
New Orleans, LA 70131-6941
Phone (504) 298-1001

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
131524LAMDHome Health Agency

NPI Registry JSON

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

{
    "created_epoch": "1473638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473638400000",
    "number": "1326596040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4480 GENERAL DEGAULLE DR STE 119",
            "address_2": "802 WOODLAND DRIVE",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701316941",
            "telephone_number": "504-298-1001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4480 GENERAL DEGAULLE DR STE 119",
            "address_2": "802 WOODLAND DRIVE",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701316941",
            "telephone_number": "504-298-1001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEVIL",
        "first_name": "DOMINIC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-09-12",
        "last_updated": "2016-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "LA",
            "license": "131524",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Orleans, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2016; 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.