NPIMap

DDMS of Louisiana No 2, LLC

Organization Active NPI Developmentally Disabled Services Day Training Agency · Baton Rouge, LA

NPI 1376758409 · NPPES record last updated Mar 5, 2023

Key facts

NPI
1376758409
Entity type
Organization (NPI type 2)
Primary specialty
Developmentally Disabled Services Day Training Agency 251C00000X
License
617 (LA)
Legal business name
DDMS OF LOUISIANA NO 2, LLC
Practice address
8280 YMCA Plaza Dr BLDG 9
Baton Rouge, LA 70810-0927
Phone
(225) 767-2344
Fax
(225) 767-8068
NPI assigned
May 11, 2007
Organization subpart
No

Authorized official

Name
Brett Ian Cohen
Title
Coo
Phone
(800) 388-5150

Corporate family (same tax ID) 24

Organizations that report the same tax identification number in the National Provider Directory.

National Provider Directory

Tax ID family
DDMS of Louisiana No 2 LLC (95 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X 617 LA Yes

Addresses

Primary practice location

8280 YMCA Plaza Dr BLDG 9
Baton Rouge, LA 70810-0927

Mailing address

313 Congress St
Boston, MA 02210-1218
Phone (800) 388-5150

Other identifiers

IdentifierTypeStateIssuer
1719269MedicaidLA

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Mar 5, 2023.

{
    "created_epoch": "1178841600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677974400000",
    "number": "1376758409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "313 CONGRESS ST",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022101218",
            "telephone_number": "800-388-5150",
            "fax_number": "617-790-4271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8280 YMCA PLAZA DR BLDG 9",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708100927",
            "telephone_number": "225-767-2344",
            "fax_number": "225-767-8068"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DDMS OF LOUISIANA NO 2, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-11",
        "last_updated": "2023-03-05",
        "certification_date": "2023-03-05",
        "status": "A",
        "authorized_official_last_name": "COHEN",
        "authorized_official_first_name": "BRETT",
        "authorized_official_middle_name": "IAN",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "800-388-5150"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "LA",
            "license": "617",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1719269",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Baton Rouge, LA

All providers in Baton Rouge, LA · Developmentally Disabled Services Day Training Agency in Louisiana

Sources for this page

Verify at the official NPI Registry.