NPIMap

Organization Active NPI

Premier Community Services

  • Technician
  • Baldwin, LA
National Provider Identifier
1447654231
Registry record updated Oct 29, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
TechnicianTaxonomy code 374700000X
License
142861
Legal business name
PREMIER COMMUNITY SERVICES
Practice address
105 Rosebud Street
Baldwin, LA 70514
Phone
(337) 923-0505
Fax
(337) 923-0363
NPI assigned
Oct 22, 2014
Last updated
Oct 29, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2014

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

Authorized official

Name
Virginia Collins, LCSW
Title
Executive Director
Phone
(225) 933-0143

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
TechnicianGroup: 193400000X SINGLE SPECIALTY GROUP 374700000X 142861 Primary

Addresses

Primary practice location

105 Rosebud Street
Baldwin, LA 70514

Mailing address

PO Box 1009
Baldwin, LA 70514-1009
Phone (337) 923-0505

Other identifiers 2

IdentifierTypeStateIssuer
1462861MedicaidLA
1468261OtherLASTATE OF LOUISIANA PERSONAL CARE ATTENDANT AGENCY

National Provider Directory

National Provider Directory
Tax ID family
Premier Community Services LLC13 organizations share this tax ID, including this one

Other organizations with this tax ID 12

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": "1413936000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1414540800000",
    "number": "1447654231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1009",
            "city": "BALDWIN",
            "state": "LA",
            "postal_code": "705141009",
            "telephone_number": "337-923-0505",
            "fax_number": "337-923-0363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 ROSEBUD STREET",
            "city": "BALDWIN",
            "state": "LA",
            "postal_code": "70514",
            "telephone_number": "337-923-0505",
            "fax_number": "337-923-0363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER COMMUNITY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-22",
        "last_updated": "2014-10-29",
        "status": "A",
        "authorized_official_last_name": "COLLINS",
        "authorized_official_first_name": "VIRGINIA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "225-933-0143",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "374700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician",
            "state": null,
            "license": "142861",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1462861",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF LOUISIANA PERSONAL CARE ATTENDANT AGENCY",
            "identifier": "1468261",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Baldwin, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2014; 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.