Organization Active NPI

Advanced Personal Care Services, Inc.

  • Developmentally Disabled Services Day Training Agency
  • Gretna, LA
National Provider Identifier
1477769701
Registry record updated Dec 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
License
PCA12187 Issued in LA
Legal business name
ADVANCED PERSONAL CARE SERVICES, INC.
Practice address
1800 Carol Sue Ave Ste 6
Gretna, LA 70056-4124
Phone
(504) 227-0773
Fax
(504) 227-0715
NPI assigned
May 15, 2007
Last updated
Dec 9, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2024

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

Authorized official

Name
Mrs. Deatra Monique Matthews
Title
Ceo
Phone
(504) 227-0773

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X PCA12187 LA Primary
Home Health Agency 251E00000X NU

Addresses

Primary practice location

1800 Carol Sue Ave Ste 6
Gretna, LA 70056-4124

Mailing address

1800 Carol Sue Ave Ste 6
Gretna, LA 70056-4124
Phone (504) 227-0773

Other identifiers 1

IdentifierTypeStateIssuer
1170089MedicaidLA

National Provider Directory

National Provider Directory
Tax ID family
Advanced Personal Care Services Inc5 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.

NPI Registry JSON

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

{
    "created_epoch": "1179187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733702400000",
    "number": "1477769701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 CAROL SUE AVE STE 6",
            "city": "GRETNA",
            "state": "LA",
            "postal_code": "700564124",
            "telephone_number": "504-227-0773",
            "fax_number": "504-227-0715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 CAROL SUE AVE STE 6",
            "city": "GRETNA",
            "state": "LA",
            "postal_code": "700564124",
            "telephone_number": "504-227-0773",
            "fax_number": "504-227-0715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED PERSONAL CARE SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-15",
        "last_updated": "2024-12-09",
        "certification_date": "2024-12-09",
        "status": "A",
        "authorized_official_last_name": "MATTHEWS",
        "authorized_official_first_name": "DEATRA",
        "authorized_official_middle_name": "MONIQUE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "504-227-0773",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "LA",
            "license": "PCA12187",
            "primary": true
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1170089",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Dec 9, 2024; 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.