NPIMap

Organization Active NPI

Immaculate Heart of Mary-PCS LLC

  • Adult Companion
  • Melville, LA
National Provider Identifier
1346429990
Registry record updated Oct 31, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult CompanionTaxonomy code 372600000X
License
12145 Issued in LA
Legal business name
IMMACULATE HEART OF MARY-PCS LLC
Practice address
226 Lyons St
Melville, LA 71353
Phone
(337) 623-4100
Fax
(337) 623-4102
NPI assigned
Oct 31, 2007
Last updated
Oct 31, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2007

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

Authorized official

Name
Mr. Bennett Morain
Title
Owner
Phone
(337) 623-4100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Companion 372600000X 12145 LA Primary

Addresses

Primary practice location

226 Lyons St
Melville, LA 71353

Mailing address

PO Box 668
Melville, LA 71353-0668
Phone (337) 623-4100

National Provider Directory

National Provider Directory
Tax ID family
Immaculate Heart of Mary5 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": "1193788800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193788800000",
    "number": "1346429990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 668",
            "city": "MELVILLE",
            "state": "LA",
            "postal_code": "713530668",
            "telephone_number": "337-623-4100",
            "fax_number": "337-623-4102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "226 LYONS ST",
            "city": "MELVILLE",
            "state": "LA",
            "postal_code": "71353",
            "telephone_number": "337-623-4100",
            "fax_number": "337-623-4102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMMACULATE HEART OF MARY-PCS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-31",
        "last_updated": "2007-10-31",
        "status": "A",
        "authorized_official_last_name": "MORAIN",
        "authorized_official_first_name": "BENNETT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "337-623-4100",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "372600000X",
            "taxonomy_group": "",
            "desc": "Adult Companion",
            "state": "LA",
            "license": "12145",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Melville, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2007; 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.