Liberty Restoration Community Development Corporation

Primary specialty

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

Legal business name

LIBERTY RESTORATION COMMUNITY DEVELOPMENT CORPORATION

Practice address

12415 Wardline Rd
Hammond, LA 70401-6210

Phone

(985) 340-7033

Fax

(985) 340-7035

NPI assigned

Sep 11, 2009

Organization subpart

No

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

Authorized official

Name

Annette Johnson

Title

Director of Operations

Phone

(985) 340-7033

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1252627200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1252627200000",
    "number": "1366775116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12415 WARDLINE RD",
            "city": "HAMMOND",
            "state": "LA",
            "postal_code": "704016210",
            "telephone_number": "985-340-7033",
            "fax_number": "985-340-7035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12415 WARDLINE RD",
            "city": "HAMMOND",
            "state": "LA",
            "postal_code": "704016210",
            "telephone_number": "985-340-7033",
            "fax_number": "985-340-7035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIBERTY RESTORATION COMMUNITY DEVELOPMENT CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-11",
        "last_updated": "2009-09-11",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "ANNETTE",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "985-340-7033"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "LA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Delexus Aubrielle Lewis
• Dorothy A Lewis, M. D.
• Eboni Lewis
• Fredrick Austin Lewis, MD
• Jessica N Lewis, PT
• Lifecare Medical, Inc
• Daniel Anthony Linarello, M.D.
• Kirsten Lind, R.N.
• F. Jefferson Liner Jr., M. D.
• Amy Priez Linn, CNM

• Non-emergency Medical Transport (VAN) in Hammond, LA
• Providers in Hammond, 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 Sep 11, 2009; 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.