NPIMap

Organization Active NPI

A Small World in the River Region, Inc

  • Developmentally Disabled Services Day Training Agency
  • Boutte, LA
National Provider Identifier
1508035056
Registry record updated Feb 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
License
14092 Issued in LA
Legal business name
A SMALL WORLD IN THE RIVER REGION, INC
Practice address
13174 Highway 90
Boutte, LA 70039
Phone
(985) 785-1402
Fax
(985) 785-1404
NPI assigned
Feb 28, 2008
Last updated
Feb 28, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2008

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

Authorized official

Name
Terra Washington
Title
Executive Director
Phone
(504) 328-1627

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X 14092 LA Primary

Addresses

Primary practice location

13174 Highway 90
Boutte, LA 70039

Mailing address

732 Westbank Expy
Gretna, LA 70053-5623
Phone (504) 328-1627

Other identifiers 1

IdentifierTypeStateIssuer
14092MedicaidLA

National Provider Directory

National Provider Directory
Tax ID family
A Small World in the River Region 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": "1204156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204156800000",
    "number": "1508035056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "732 WESTBANK EXPY",
            "city": "GRETNA",
            "state": "LA",
            "postal_code": "700535623",
            "telephone_number": "504-328-1627",
            "fax_number": "504-328-1467"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13174 HIGHWAY 90",
            "city": "BOUTTE",
            "state": "LA",
            "postal_code": "70039",
            "telephone_number": "985-785-1402",
            "fax_number": "985-785-1404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A SMALL WORLD IN THE RIVER REGION, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-28",
        "last_updated": "2008-02-28",
        "status": "A",
        "authorized_official_last_name": "WASHINGTON",
        "authorized_official_first_name": "TERRA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "504-328-1627"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "LA",
            "license": "14092",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "14092",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Boutte, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2008; 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.