Active NPI
Nikki Children'S Home
- Case Management Agency
- Lake Charles, LA
National Provider Identifier
1457687592
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Management Agency
- Legal business name
- NIKKI CHILDREN'S HOME
- Doing business as
- ruth's place
- Practice address
- 403 7TH St
Lake Charles, LA 70601-6006 - Phone
- (337) 433-6309
- NPI assigned
- Oct 25, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Jennifer Richard
- Title
- Executive Director
- Phone
- (337) 433-6309
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | LA | ||
| Case Management Agency | 251B00000X | Primary | ||
| PACE Provider Organization | 251T00000X | LA | ||
| Parenteral & Enteral Nutrition Supplies (DME) | 332BP3500X | LA | ||
| Oxygen Equipment & Supplies (DME) | 332BX2000X | LA |
Addresses
Primary practice location
403 7TH St
Lake Charles, LA 70601-6006
Mailing address
1621 7TH St
Lake Charles, LA 70601-5570
Phone (337) 433-6309
Other names 1
- ruth's place
National Provider Directory
National Provider Directory- Tax ID family
- NCH Outreach Center
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Emotionally Disturbed Childrens' Residential Treatment Facility
- Houston, TX
- NPI 1639373855
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1256428800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1256428800000",
"number": "1457687592",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1621 7TH ST",
"city": "LAKE CHARLES",
"state": "LA",
"postal_code": "706015570",
"telephone_number": "337-433-6309"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "403 7TH ST",
"city": "LAKE CHARLES",
"state": "LA",
"postal_code": "706016006",
"telephone_number": "337-433-6309"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NIKKI CHILDREN'S HOME",
"organizational_subpart": "NO",
"enumeration_date": "2009-10-25",
"last_updated": "2009-10-25",
"status": "A",
"authorized_official_last_name": "RICHARD",
"authorized_official_first_name": "JENNIFER",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "337-433-6309",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker",
"state": "LA",
"license": null,
"primary": false
},
{
"code": "251B00000X",
"taxonomy_group": "",
"desc": "Case Management",
"state": null,
"license": null,
"primary": true
},
{
"code": "251T00000X",
"taxonomy_group": "",
"desc": "Program of All-Inclusive Care for the Elderly (PACE) Provider Organization",
"state": "LA",
"license": null,
"primary": false
},
{
"code": "332BP3500X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
"state": "LA",
"license": null,
"primary": false
},
{
"code": "332BX2000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
"state": "LA",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "ruth's place",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Lake Charles, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.