NPIMap

Organization Active NPI

Volunteers of America Southeast Louisiana, Inc.

  • Community/Behavioral Health Agency
  • Mandeville, LA
National Provider Identifier
1396093506
Registry record updated Sep 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
VOLUNTEERS OF AMERICA SOUTHEAST LOUISIANA, INC.
Practice address
823 Carroll Street
Suite B
Mandeville, LA 70448
Phone
(985) 674-0488
Fax
(985) 674-0336
NPI assigned
Aug 17, 2012
Last updated
Sep 23, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
VOLUNTEERS OF AMERICA SOUTHEAST LOUISIANA, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 23, 2024

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

Authorized official

Name
Jason Burt
Title
Evp of Enterprise & Administration
Phone
(504) 486-8674

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

823 Carroll Street
Suite B
Mandeville, LA 70448

Mailing address

4152 Canal Street
New Orleans, LA 70119
Phone (504) 482-2130

Other names 2

  • Volunteers of America Greater New Orleans, Inc. Former legal business name
  • Behavioral Health Services Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200115000317 LA Part B Supplier - Clinic/Group Practice 2163761297 Receives reassigned benefits from 2 practitioners
2 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Mandeville, LA; New Orleans, LA

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Volunteers of America SE la24 organizations share this tax ID, including this one
Part of
Volunteers of America SE la

Other organizations with this tax ID 23

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

View all 23

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1345161600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727049600000",
    "number": "1396093506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4152 CANAL STREET",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "70119",
            "telephone_number": "504-482-2130",
            "fax_number": "504-482-1922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "823 CARROLL STREET",
            "address_2": "SUITE B",
            "city": "MANDEVILLE",
            "state": "LA",
            "postal_code": "70448",
            "telephone_number": "985-674-0488",
            "fax_number": "985-674-0336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VOLUNTEERS OF AMERICA SOUTHEAST LOUISIANA, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "VOLUNTEERS OF AMERICA SOUTHEAST LOUISIANA, INC.",
        "enumeration_date": "2012-08-17",
        "last_updated": "2024-09-23",
        "certification_date": "2024-09-23",
        "status": "A",
        "authorized_official_last_name": "BURT",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "EVP OF ENTERPRISE & ADMINISTRATION",
        "authorized_official_telephone_number": "504-486-8674"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Volunteers of America Greater New Orleans, Inc.",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Behavioral Health Services",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Mandeville, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.