Terrebonne Council on Aging, Inc

Primary specialty

Non-emergency Medical Transport (VAN)Taxonomy code 343900000X

Legal business name

TERREBONNE COUNCIL ON AGING, INC

Practice address

995 W Tunnel Blvd
Houma, LA 70360-5557

Phone

(985) 868-8411

Fax

(985) 868-7806

NPI assigned

Aug 20, 2007

Last updated

Jul 21, 2022By 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. Diana N Edmonson

Title

Executive Director

Phone

(985) 868-8411

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1187568000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1356534788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "995 W TUNNEL BLVD",
            "city": "HOUMA",
            "state": "LA",
            "postal_code": "703605557",
            "telephone_number": "985-868-8411",
            "fax_number": "985-868-7806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "995 W TUNNEL BLVD",
            "city": "HOUMA",
            "state": "LA",
            "postal_code": "703605557",
            "telephone_number": "985-868-8411",
            "fax_number": "985-868-7806"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TERREBONNE COUNCIL ON AGING, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-20",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "EDMONSON",
        "authorized_official_first_name": "DIANA",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "985-868-8411",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "LA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1992330",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Non-emergency Medical Transport (VAN) in Houma, LA
• Providers in Houma, LA by specialty
• Non-emergency Medical Transport (VAN) in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.