NPIMap

Organization Active NPI

Holistic Educational Rehab Center

  • In Home Supportive Care Agency
  • Gretna, LA
National Provider Identifier
1356586044
Registry record updated Dec 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
12455 Issued in LA
Legal business name
HOLISTIC EDUCATIONAL REHAB CENTER
Practice address
2100 Belle Chase Hwy
Gretna, LA 70053-6651
Phone
(504) 367-6630
Fax
(504) 367-6601
NPI assigned
Dec 9, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2008

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

Authorized official

Name
Mrs. La Shun Senel Doyle, LAC
Title
Director
Phone
(504) 367-6630

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X 12455 LA Primary

Addresses

Primary practice location

2100 Belle Chase Hwy
Gretna, LA 70053-6651

Mailing address

2100 Belle Chase Hwy
Gretna, LA 70053-6651
Phone (504) 367-6630

Other identifiers 1

IdentifierTypeStateIssuer
12455MedicaidLA

National Provider Directory

National Provider Directory
Tax ID family
Holistic Educational Rehab Center6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

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": "1228780800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1228780800000",
    "number": "1356586044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 BELLE CHASE HWY",
            "city": "GRETNA",
            "state": "LA",
            "postal_code": "700536651",
            "telephone_number": "504-367-6630",
            "fax_number": "504-367-6601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 BELLE CHASE HWY",
            "city": "GRETNA",
            "state": "LA",
            "postal_code": "700536651",
            "telephone_number": "504-367-6630",
            "fax_number": "504-367-6601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLISTIC EDUCATIONAL REHAB CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-09",
        "last_updated": "2008-12-09",
        "status": "A",
        "authorized_official_last_name": "DOYLE",
        "authorized_official_first_name": "LA SHUN",
        "authorized_official_middle_name": "SENEL",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "504-367-6630",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LAC"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "LA",
            "license": "12455",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "12455",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gretna, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 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.