Organization Active NPI

E D & J Group Home

  • Community Based Hospice Care Agency
  • New Orleans, LA
National Provider Identifier
1447384391
Registry record updated Sep 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
License
SIL20035 Issued in LA
Legal business name
E D & J GROUP HOME
Practice address
5000 St. Claude Ave
New Orleans, LA 70117
Phone
(504) 272-0269
Fax
(504) 272-0271
NPI assigned
Mar 15, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2008

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

Authorized official

Name
Byken Geneva Johnson
Title
Office Manager
Phone
(504) 272-0269

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X
Community Based Hospice Care Agency 251G00000X SIL20035 LA Primary

Addresses

Primary practice location

5000 St. Claude Ave
New Orleans, LA 70117

Mailing address

P.O. Box 657
Violet, LA 70092
Phone (504) 272-0267

Other identifiers 1

IdentifierTypeStateIssuer
1598534MedicaidLA

National Provider Directory

National Provider Directory
Tax ID family
E D J Group Home4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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": "1173916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222128000000",
    "number": "1447384391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 657",
            "city": "VIOLET",
            "state": "LA",
            "postal_code": "70092",
            "telephone_number": "504-272-0267",
            "fax_number": "504-272-0271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5000 ST. CLAUDE AVE",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "70117",
            "telephone_number": "504-272-0269",
            "fax_number": "504-272-0271"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "E D & J GROUP HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-15",
        "last_updated": "2008-09-23",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "BYKEN",
        "authorized_official_middle_name": "GENEVA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "504-272-0269"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "LA",
            "license": "SIL20035",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1598534",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Orleans, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2008; 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.