NPIMap

Organization Active NPI

Kennise Reed Jubilee Respite Services

  • Adult Care Home Facility
  • Gretna, LA
National Provider Identifier
1407074503
Registry record updated Jan 21, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
License
12080 Issued in LA
Legal business name
KENNISE REED JUBILEE RESPITE SERVICES
Doing business as
JUBILEE RESPITE SERVICES INC
Practice address
401 Whitney Ave
Suite 210
Gretna, LA 70056-2558
Phone
(504) 368-5336
Fax
(504) 368-5339
NPI assigned
Apr 23, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2010

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

Authorized official

Name
Kennise W Reed, BASW
Title
Director
Phone
(504) 368-5336

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Care Home Facility 311ZA0620X 12080 LA Primary

Addresses

Primary practice location

401 Whitney Ave
Suite 210
Gretna, LA 70056-2558

Mailing address

401 Whitney Ave
Suite 210
Gretna, LA 70056-2558
Phone (504) 368-5336

Other names 1

  • JUBILEE RESPITE SERVICES INC Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Jubilee Respite Services5 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.

Locations

401 Whitney Ave
Ste 210
Gretna, LA 70056
Phone (504) 368-5336

NPI Registry JSON

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

{
    "created_epoch": "1177286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1264032000000",
    "number": "1407074503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 WHITNEY AVE",
            "address_2": "SUITE 210",
            "city": "GRETNA",
            "state": "LA",
            "postal_code": "700562558",
            "telephone_number": "504-368-5336",
            "fax_number": "504-368-5339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 WHITNEY AVE",
            "address_2": "SUITE 210",
            "city": "GRETNA",
            "state": "LA",
            "postal_code": "700562558",
            "telephone_number": "504-368-5336",
            "fax_number": "504-368-5339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENNISE REED JUBILEE RESPITE SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-23",
        "last_updated": "2010-01-21",
        "status": "A",
        "authorized_official_last_name": "REED",
        "authorized_official_first_name": "KENNISE",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "504-368-5336",
        "authorized_official_credential": "BASW"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "LA",
            "license": "12080",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "JUBILEE RESPITE SERVICES INC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Gretna, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2010; 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.