NPIMap

Organization Active NPI

Hope Manor

  • Exclusive Provider Organization
  • Ville Platte, LA
National Provider Identifier
1356661300
Registry record updated Jun 1, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Exclusive Provider OrganizationTaxonomy code 302F00000X
License
554047 Issued in LA
Legal business name
HOPE MANOR
Practice address
2683 Vidrine Rd
Ville Platte, LA 70586-8505
Phone
(337) 363-4521
Fax
(337) 363-4524
NPI assigned
Jun 1, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2010

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

Authorized official

Name
Mr. Kerney Thomas Sr.
Title
Ceo
Phone
(337) 363-4521

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Exclusive Provider Organization 302F00000X 554047 LA Primary

Addresses

Primary practice location

2683 Vidrine Rd
Ville Platte, LA 70586-8505

Mailing address

2683 Vidrine Rd
Ville Platte, LA 70586-8505
Phone (337) 363-4521

Other identifiers 2

IdentifierTypeStateIssuer
1566039MedicaidLA
1175561MedicaidLA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1275350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1275350400000",
    "number": "1356661300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2683 VIDRINE RD",
            "city": "VILLE PLATTE",
            "state": "LA",
            "postal_code": "705868505",
            "telephone_number": "337-363-4521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2683 VIDRINE RD",
            "city": "VILLE PLATTE",
            "state": "LA",
            "postal_code": "705868505",
            "telephone_number": "337-363-4521",
            "fax_number": "337-363-4524"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOPE MANOR",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-01",
        "last_updated": "2010-06-01",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "KERNEY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "337-363-4521",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Sr."
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": "LA",
            "license": "554047",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1566039",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1175561",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ville Platte, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 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.