Tunson Pca Agency

Primary specialty

Custodial Care FacilityTaxonomy code 311Z00000X

Legal business name

TUNSON PCA AGENCY

Practice address

120 Vickie St
Napoleonville, LA 70390-8638

Phone

(985) 369-7002

Fax

(985) 369-7170

NPI assigned

Nov 29, 2006

Organization subpart

No

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

Authorized official

Name

Ms. Nicole Oliver Tunson

Title

Administrator

Phone

(985) 369-7002

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1164758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1376610089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 VICKIE ST",
            "address_2": "4781 HWY 1",
            "city": "NAPOLEONVILLE",
            "state": "LA",
            "postal_code": "703908638",
            "telephone_number": "985-369-7002",
            "fax_number": "985-369-7170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 VICKIE ST",
            "city": "NAPOLEONVILLE",
            "state": "LA",
            "postal_code": "703908638",
            "telephone_number": "985-369-7002",
            "fax_number": "985-369-7170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TUNSON PCA AGENCY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "TUNSON",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_middle_name": "OLIVER",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "985-369-7002",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "311Z00000X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1509477",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• All providers in Napoleonville, LA
• Custodial Care Facility in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.