NPIMap

Organization Active NPI

Nellie Byers Training Center Inc

  • Case Manager/Care Coordinator
  • Bogalusa, LA
National Provider Identifier
1407038672
Registry record updated Nov 29, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
Legal business name
NELLIE BYERS TRAINING CENTER INC
Practice address
640 Avenue V
Bogalusa, LA 70427
Phone
(985) 735-5216
Fax
(985) 735-1923
NPI assigned
Nov 29, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2007

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

Authorized official

Name
Lance S Davis, MBA
Title
President of the Board
Phone
(985) 735-6555

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care CoordinatorGroup: 193200000X MULTI-SPECIALTY GROUP 171M00000X LA Primary

Addresses

Primary practice location

640 Avenue V
Bogalusa, LA 70427

Mailing address

640 Avenue V
Bogalusa, LA 70427
Phone (985) 735-5216

Other identifiers 5

IdentifierTypeStateIssuer
450595OtherSUBMISSION NO
1938157OtherDAY HABILITATION
10005OtherLICENSE NO
1934160OtherSUPPORTED EMPLOYMENT
1938165MedicaidLA

Other names 1

  • Ouazi Private Entity Other name

National Provider Directory

National Provider Directory
Tax ID family
Nellie Byers Training Centerinc7 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": "1196294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196294400000",
    "number": "1407038672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "640 AVENUE V",
            "city": "BOGALUSA",
            "state": "LA",
            "postal_code": "70427",
            "telephone_number": "985-735-5216",
            "fax_number": "985-735-1923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "640 AVENUE V",
            "city": "BOGALUSA",
            "state": "LA",
            "postal_code": "70427",
            "telephone_number": "985-735-5216",
            "fax_number": "985-735-1923"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NELLIE BYERS TRAINING CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-29",
        "last_updated": "2007-11-29",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "LANCE",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT OF THE BOARD",
        "authorized_official_telephone_number": "985-735-6555",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Case Manager/Care Coordinator",
            "state": "LA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SUBMISSION NO",
            "identifier": "450595",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DAY HABILITATION",
            "identifier": "1938157",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NO",
            "identifier": "10005",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SUPPORTED EMPLOYMENT",
            "identifier": "1934160",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1938165",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ouazi Private Entity",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Bogalusa, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2007; 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.