NPIMap

Organization Active NPI

Regional Pca Services-Northeast, LLC

  • Home Health Agency
  • Monroe, LA
National Provider Identifier
1508083718
Registry record updated Jul 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
10481 Issued in LA
Legal business name
REGIONAL PCA SERVICES-NORTHEAST, LLC
Practice address
1205 North 18TH Street
Suite 207
Monroe, LA 71201
Phone
(318) 323-0471
Fax
(318) 323-4783
NPI assigned
Apr 19, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2012

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

Authorized official

Name
Mr. Charles Lanphier
Title
Owner
Phone
(225) 928-8989

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 10481 LA Primary

Addresses

Primary practice location

1205 North 18TH Street
Suite 207
Monroe, LA 71201

Mailing address

8352 Bluebonnet Blvd
Baton Rouge, LA 70810
Phone (225) 928-8989

Other identifiers 1

IdentifierTypeStateIssuer
1596582MedicaidLA

National Provider Directory

National Provider Directory
Tax ID family
Regional Pca Services-Northeast 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.

NPI Registry JSON

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

{
    "created_epoch": "1176940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1342137600000",
    "number": "1508083718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8352 BLUEBONNET BLVD",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "70810",
            "telephone_number": "225-928-8989",
            "fax_number": "225-928-8990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1205 NORTH 18TH STREET",
            "address_2": "SUITE 207",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "71201",
            "telephone_number": "318-323-0471",
            "fax_number": "318-323-4783"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REGIONAL PCA SERVICES-NORTHEAST, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-19",
        "last_updated": "2012-07-13",
        "status": "A",
        "authorized_official_last_name": "LANPHIER",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "225-928-8989",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "LA",
            "license": "10481",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1596582",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroe, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2012; 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.