NPIMap

Organization Active NPI

My Purpose Community Services

  • Home Health Agency
  • Slidell, LA
National Provider Identifier
1396943197
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
251E00000X Issued in LA
Legal business name
MY PURPOSE COMMUNITY SERVICES
Practice address
1377 Gause Blvd W
Slidell, LA 70460-5765
Phone
(985) 847-9485
Fax
(985) 847-9485
NPI assigned
Jul 3, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Evangelina Johnson Ussin, BSW, MSW, RSW
Title
Director
Phone
(985) 847-9485

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 251E00000X LA Primary

Addresses

Primary practice location

1377 Gause Blvd W
Slidell, LA 70460-5765

Mailing address

1377 Gause Blvd W
Slidell, LA 70460-5765
Phone (985) 847-9485

Other identifiers 3

IdentifierTypeStateIssuer
1758451MedicaidLA
1356921MedicaidLA
1641928MedicaidLA

National Provider Directory

National Provider Directory
Tax ID family
My Purpose Community Services7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

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

NPI Registry JSON

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

{
    "created_epoch": "1183420800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1396943197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1377 GAUSE BLVD W",
            "city": "SLIDELL",
            "state": "LA",
            "postal_code": "704605765",
            "telephone_number": "985-847-9485",
            "fax_number": "985-847-9485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1377 GAUSE BLVD W",
            "city": "SLIDELL",
            "state": "LA",
            "postal_code": "704605765",
            "telephone_number": "985-847-9485",
            "fax_number": "985-847-9485"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MY PURPOSE COMMUNITY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "USSIN",
        "authorized_official_first_name": "EVANGELINA",
        "authorized_official_middle_name": "JOHNSON",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "985-847-9485",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "BSW, MSW, RSW"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "LA",
            "license": "251E00000X",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1758451",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1356921",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1641928",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Slidell, LA

Sources for this page

  • 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.