Interlink Health Care Home and Community Based Waiver

Primary specialty

Health Maintenance OrganizationTaxonomy code 302R00000X

License

PCA 7065 Issued in LA

Legal business name

INTERLINK HEALTH CARE HOME AND COMMUNITY BASED WAIVER

Practice address

75 Dominican Drive, Ste. 201
Laplace, LA 70068

Phone

(985) 652-1847

Fax

(985) 652-1809

NPI assigned

May 7, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Paigedene Ann Eaglin

Title

Ceo

Phone

(225) 342-0138

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Interlink Health Care Home and Community Based Waiver2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Interlink Homeand Community Based Waiver

  • Case Management Agency
  • La Place, LA
  • NPI 1225219298
  NPD tax ID

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

{
    "created_epoch": "1178496000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1346453669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3525 PRYTANIA ST STE 608",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701158106",
            "telephone_number": "504-891-8100",
            "fax_number": "504-891-8156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 DOMINICAN DRIVE, STE. 201",
            "city": "LAPLACE",
            "state": "LA",
            "postal_code": "70068",
            "telephone_number": "985-652-1847",
            "fax_number": "985-652-1809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERLINK HEALTH CARE HOME AND COMMUNITY BASED WAIVER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "EAGLIN",
        "authorized_official_first_name": "PAIGEDENE",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "225-342-0138",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "LA",
            "license": "PCA 7065",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PCA 7065",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bridgit Michelle Humphreys, PHARMD
• Roylena Michelle Humphries-Tate
• Denise A. Hymel, RN, WCC, CDE
• Innovative Approaches Counseling Center
• Intergrated Management Solutions LLC
• Interlink Health Care Service Inc
• Interlink Homeand Community Based Waiver
• Tonoka Isaac
• Carrie Ivery
• Jabours Personal Health Care

• Health Maintenance Organization in La Place, LA
• Providers in La Place, LA by specialty
• Health Maintenance Organization in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.