NPIMap

Organization Active NPI

Special Needs Unlimited, L.L.C.

  • Developmental Disabilities Clinic/Center
  • Baton Rouge, LA
National Provider Identifier
1457577892
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmental Disabilities Clinic/CenterTaxonomy code 261QD1600X
License
11299 Issued in LA
Legal business name
SPECIAL NEEDS UNLIMITED, L.L.C.
Practice address
2320 Drusilla LN
Suite D
Baton Rouge, LA 70809-1495
Phone
(225) 925-5003
Fax
(225) 248-1063
NPI assigned
Apr 17, 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
Ms. Angela T Brandon, B.S. W.
Title
Owner
Phone
(225) 925-5003

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Developmental Disabilities Clinic/Center 261QD1600X 11299 LA Primary
Developmental Disabilities Clinic/Center 261QD1600X 11297 LA

Addresses

Primary practice location

2320 Drusilla LN
Suite D
Baton Rouge, LA 70809-1495

Mailing address

2320 Drusilla LN
Suite D
Baton Rouge, LA 70809-1495
Phone (225) 925-5003

Other identifiers 3

IdentifierTypeStateIssuer
1470732MedicaidLA
1471321MedicaidLA
1125482MedicaidLA

National Provider Directory

National Provider Directory
Tax ID family
Special Needs Unlimited LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2320 Drusilla Ln
Ste D
Baton Rouge, LA 70809
Phone (225) 925-5003

NPI Registry JSON

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

{
    "created_epoch": "1176768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1457577892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2320 DRUSILLA LN",
            "address_2": "SUITE D",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708091495",
            "telephone_number": "225-925-5003",
            "fax_number": "225-248-1063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2320 DRUSILLA LN",
            "address_2": "SUITE D",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708091495",
            "telephone_number": "225-925-5003",
            "fax_number": "225-248-1063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPECIAL NEEDS UNLIMITED, L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BRANDON",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "225-925-5003",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "B.S. W."
    },
    "taxonomies": [
        {
            "code": "261QD1600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Developmental Disabilities",
            "state": "LA",
            "license": "11299",
            "primary": true
        },
        {
            "code": "261QD1600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Developmental Disabilities",
            "state": "LA",
            "license": "11297",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1470732",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1471321",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1125482",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Baton Rouge, 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.