NPIMap

Organization Active NPI

Kea,Inc

  • Custodial Care Facility
  • Monroe, LA
National Provider Identifier
1407065352
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Custodial Care FacilityTaxonomy code 311Z00000X
License
1476030 Issued in LA
Legal business name
KEA,INC
Practice address
2911 Cameron St
Monroe, LA 71201-3713
Phone
(318) 651-9363
Fax
(318) 651-9251
NPI assigned
May 21, 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
Mr. Kerry J. Scott, LAC
Title
Ceo
Phone
(318) 651-9363

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Custodial Care Facility 311Z00000X 1476030 LA Primary

Addresses

Primary practice location

2911 Cameron St
Monroe, LA 71201-3713

Mailing address

2911 Cameron St
Monroe, LA 71201-3713
Phone (318) 651-9363

Other identifiers 1

IdentifierTypeStateIssuer
1476030MedicaidLA

National Provider Directory

National Provider Directory
Tax ID family
Keainc5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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": "1179705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1407065352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2911 CAMERON ST",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712013713",
            "telephone_number": "318-651-9363",
            "fax_number": "318-651-9251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2911 CAMERON ST",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712013713",
            "telephone_number": "318-651-9363",
            "fax_number": "318-651-9251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEA,INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SCOTT",
        "authorized_official_first_name": "KERRY",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "318-651-9363",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LAC"
    },
    "taxonomies": [
        {
            "code": "311Z00000X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility",
            "state": "LA",
            "license": "1476030",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1476030",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroe, 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.