NPIMap

Organization Active NPI

Extended Family Healthcare Services

  • Community/Behavioral Health Agency
  • Baton Rouge, LA
National Provider Identifier
1346425865
Registry record updated Jan 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
14040 Issued in LA
Legal business name
EXTENDED FAMILY HEALTHCARE SERVICES
Practice address
1970 Florida Avenue SW
D
Baton Rouge, LA 70809-1463
Phone
(225) 923-0203
Fax
(225) 923-0207
NPI assigned
Jan 3, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2008

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

Authorized official

Name
Mrs. Stacey Lathan Batiste, MBA/MA
Title
Owner
Phone
(225) 923-0203

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 14040 LA Primary

Addresses

Primary practice location

1970 Florida Avenue SW
D
Baton Rouge, LA 70809-1463

Mailing address

1970 Florida Ave SW
D
Denham Springs, LA 70726-4948
Phone (225) 664-0401

Other identifiers 1

IdentifierTypeStateIssuer
14040MedicaidLA

National Provider Directory

National Provider Directory
Tax ID family
Extended Family Healthcare Services9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

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": "1199318400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201564800000",
    "number": "1346425865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1970 FLORIDA AVE SW",
            "address_2": "D",
            "city": "DENHAM SPRINGS",
            "state": "LA",
            "postal_code": "707264948",
            "telephone_number": "225-664-0401",
            "fax_number": "225-923-0207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1970 FLORIDA AVENUE SW",
            "address_2": "D",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708091463",
            "telephone_number": "225-923-0203",
            "fax_number": "225-923-0207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXTENDED FAMILY HEALTHCARE SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-03",
        "last_updated": "2008-01-29",
        "status": "A",
        "authorized_official_last_name": "BATISTE",
        "authorized_official_first_name": "STACEY",
        "authorized_official_middle_name": "LATHAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "225-923-0203",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MBA/MA"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "LA",
            "license": "14040",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "14040",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Jan 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.