Active NPI
Plaquemine Medical Services, LLC
- Nurse's Aide
- Plaquemine, LA
National Provider Identifier
1366773665
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse's Aide
- Legal business name
- PLAQUEMINE MEDICAL SERVICES, LLC
- Practice address
- 23620 Eden St
Plaquemine, LA 70765-0986 - Phone
- (225) 385-4617
- Fax
- (225) 385-4646
- NPI assigned
- Jan 26, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Linda M. Jackson
- Title
- Ceo/Office Manager
- Phone
- (225) 385-4617
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Homemaker | 376J00000X | LA | ||
| Nurse's Aide | 376K00000X | LA | Primary |
Addresses
Primary practice location
23620 Eden St
Plaquemine, LA 70765-0986
Mailing address
PO Box 986
23620 Eden St
Plaquemine, LA 70765-0986
Phone (225) 385-4617
National Provider Directory
National Provider Directory- Tax ID family
- Plaquemine Medical Services
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Durable Medical Equipment & Medical Supplies
- Plaquemine, LA
- NPI 1235468687
Locations
23620 Eden St
Plaquemine, LA 70764
Phone (225) 385-4617
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1264464000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1264723200000",
"number": "1366773665",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 986",
"address_2": "23620 EDEN ST",
"city": "PLAQUEMINE",
"state": "LA",
"postal_code": "707650986",
"telephone_number": "225-385-4617",
"fax_number": "225-385-4646"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23620 EDEN ST",
"city": "PLAQUEMINE",
"state": "LA",
"postal_code": "707650986",
"telephone_number": "225-385-4617",
"fax_number": "225-385-4646"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PLAQUEMINE MEDICAL SERVICES, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2010-01-26",
"last_updated": "2010-01-29",
"status": "A",
"authorized_official_last_name": "JACKSON",
"authorized_official_first_name": "LINDA",
"authorized_official_middle_name": "M.",
"authorized_official_title_or_position": "CEO/OFFICE MANAGER",
"authorized_official_telephone_number": "225-385-4617",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "376J00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Homemaker",
"state": "LA",
"license": null,
"primary": false
},
{
"code": "376K00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Nurse's Aide",
"state": "LA",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Plaquemine, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 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.