Organization Active NPI

Louisiana Support Services

  • Community/Behavioral Health Agency
  • Metairie, LA
National Provider Identifier
1376974543
Registry record updated Dec 12, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
10241206#EGG62 Issued in LA
Legal business name
LOUISIANA SUPPORT SERVICES
Practice address
2955 Ridgelake Dr
Metairie, LA 70002-4967
Phone
(504) 832-9623
Fax
(504) 832-9625
NPI assigned
Dec 12, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2013

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

Authorized official

Name
Mrs. Walter Harris
Title
Owner
Phone
(252) 717-5717

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 10241206#EGG62 LA Primary

Addresses

Primary practice location

2955 Ridgelake Dr
Metairie, LA 70002-4967

Mailing address

915 Washington St
Franklinton, LA 70438-1718
Phone (985) 839-1050

Other identifiers 1

IdentifierTypeStateIssuer
2139495MedicaidLA

National Provider Directory

National Provider Directory
Tax ID family
Louisiana Support Services3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

915 Washington St
Franklinton, LA 70438
Phone (985) 322-2026

2955 Ridgelake Dr
Metairie, LA 70002
Phone (504) 832-9623

NPI Registry JSON

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

{
    "created_epoch": "1386806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1386806400000",
    "number": "1376974543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "915 WASHINGTON ST",
            "city": "FRANKLINTON",
            "state": "LA",
            "postal_code": "704381718",
            "telephone_number": "985-839-1050",
            "fax_number": "985-839-7666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2955 RIDGELAKE DR",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700024967",
            "telephone_number": "504-832-9623",
            "fax_number": "504-832-9625"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOUISIANA SUPPORT SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-12",
        "last_updated": "2013-12-12",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "WALTER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "252-717-5717",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "LA",
            "license": "10241206#EGG62",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2139495",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Metairie, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2013; 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.