NPIMap

Organization Active NPI

A-1 Customized Companion Services Inc.

  • Community/Behavioral Health Agency
  • Gretna, LA
National Provider Identifier
1356650709
Registry record updated Oct 4, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
A-1 CUSTOMIZED COMPANION SERVICES INC.
Practice address
2100 Belle Chase Hwy
Gretna, LA 70053-6651
Phone
(504) 361-5330
Fax
(504) 367-6601
NPI assigned
Oct 4, 2010
Last updated
Oct 4, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2010

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

Authorized official

Name
Mr. Douglas Melancon
Title
Ceo
Phone
(504) 913-5452

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X NU 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) 361-5330

Other identifiers 1

IdentifierTypeStateIssuer
1024MedicaidLA

National Provider Directory

National Provider Directory
Tax ID family
A-1 Customized Companion Services5 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": "1286150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1286150400000",
    "number": "1356650709",
    "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": "504-361-5330",
            "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": "504-361-5330",
            "fax_number": "504-367-6601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A-1 CUSTOMIZED COMPANION SERVICES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-04",
        "last_updated": "2010-10-04",
        "status": "A",
        "authorized_official_last_name": "MELANCON",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "504-913-5452",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1024",
            "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 Oct 4, 2010; 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.