NPIMap

Organization Active NPI

Gulf Coast Teaching Family Services, Inc.

Doing business as Gulf Coast Social Services, Inc.

  • Intellectual Disabilities Intermediate Care Facility
  • Lafayette, LA
National Provider Identifier
1487781225
Registry record updated Sep 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X
License
410 Issued in LA
Legal business name
GULF COAST TEACHING FAMILY SERVICES, INC.
Doing business as
Gulf Coast Social Services, Inc.
Practice address
515 S College Rd
Suite 100
Lafayette, LA 70503-3352
Phone
(337) 269-1165
Fax
(337) 235-1961
NPI assigned
Feb 28, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2022

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

Authorized official

Name
Mr. Willie Green, MPA
Title
Ceo
Phone
(504) 831-6561

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual Disabilities Intermediate Care Facility 315P00000X 410 LA Primary

Addresses

Primary practice location

515 S College Rd
Suite 100
Lafayette, LA 70503-3352

Mailing address

2400 Edenborn Ave
Metairie, LA 70001-1817
Phone (504) 831-6561

Other identifiers 1

IdentifierTypeStateIssuer
1718106MedicaidLA

Other names 1

  • Gulf Coast Social Services, Inc. Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Gulf Coast Teaching Family Services56 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1172620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664409600000",
    "number": "1487781225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2400 EDENBORN AVE",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700011817",
            "telephone_number": "504-831-6561",
            "fax_number": "504-835-3156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 S COLLEGE RD",
            "address_2": "SUITE 100",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705033352",
            "telephone_number": "337-269-1165",
            "fax_number": "337-235-1961"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GULF COAST TEACHING FAMILY SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-28",
        "last_updated": "2022-09-29",
        "certification_date": "2022-09-29",
        "status": "A",
        "authorized_official_last_name": "GREEN",
        "authorized_official_first_name": "WILLIE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "504-831-6561",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MPA"
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": "LA",
            "license": "410",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1718106",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gulf Coast Social Services, Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lafayette, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2022; 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.