Organization Active NPI

Self-Enhancement Center, Inc.

  • In Home Supportive Care Agency
  • New Orleans, LA
National Provider Identifier
1336388016
Registry record updated Feb 19, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
SIL 12344 Issued in LA
Legal business name
SELF-ENHANCEMENT CENTER, INC.
Practice address
2825 A P Tureaud Ave
New Orleans, LA 70119-1009
Phone
(504) 289-6854
Fax
(504) 304-6673
NPI assigned
Feb 19, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2009

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

Authorized official

Name
Dr. Alfred Douglas White Jr.
Title
Owner/Director
Phone
(504) 289-6854

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X SIL 12344 LA Primary

Addresses

Primary practice location

2825 A P Tureaud Ave
New Orleans, LA 70119-1009

Mailing address

2825 A P Tureaud Ave
New Orleans, LA 70119-1009
Phone (504) 289-6854

Other identifiers 1

IdentifierTypeStateIssuer
SIL 12344MedicaidLA

National Provider Directory

National Provider Directory
Tax ID family
Self-Enhancement Center Inc5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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": "1235001600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1235001600000",
    "number": "1336388016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2825 A P TUREAUD AVE",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701191009",
            "telephone_number": "504-289-6854",
            "fax_number": "504-304-6673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2825 A P TUREAUD AVE",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701191009",
            "telephone_number": "504-289-6854",
            "fax_number": "504-304-6673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SELF-ENHANCEMENT CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-19",
        "last_updated": "2009-02-19",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "ALFRED",
        "authorized_official_middle_name": "DOUGLAS",
        "authorized_official_title_or_position": "OWNER/DIRECTOR",
        "authorized_official_telephone_number": "504-289-6854",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "LA",
            "license": "SIL 12344",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SIL 12344",
            "state": "LA"
        }
    ],
    "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 Feb 19, 2009; 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.