NPIMap

Organization Active NPI

Bayou Industrial Maintenance Services, Inc.

  • Developmentally Disabled Services Day Training Agency
  • Berwick, LA
National Provider Identifier
1508099375
Registry record updated Aug 27, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
License
ADC2513 Issued in LA
Legal business name
BAYOU INDUSTRIAL MAINTENANCE SERVICES, INC.
Practice address
2675 4TH St
Berwick, LA 70342-2835
Phone
(985) 384-2009
NPI assigned
Aug 27, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2009

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

Authorized official

Name
Mr. Glen P. Collins
Title
Executive Director
Phone
(985) 384-2003

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X ADC2513 LA Primary

Addresses

Primary practice location

2675 4TH St
Berwick, LA 70342-2835

Mailing address

2675 4TH St
Berwick, LA 70342-2835
Phone (985) 384-2009

Other identifiers 1

IdentifierTypeStateIssuer
1960870MedicaidLA

Other names 1

  • BIMS Other name

National Provider Directory

National Provider Directory
Tax ID family
Bayou Industrial Maintenance Services5 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": "1251331200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1251331200000",
    "number": "1508099375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2675 4TH ST",
            "city": "BERWICK",
            "state": "LA",
            "postal_code": "703422835",
            "telephone_number": "985-384-2009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2675 4TH ST",
            "city": "BERWICK",
            "state": "LA",
            "postal_code": "703422835",
            "telephone_number": "985-384-2009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAYOU INDUSTRIAL MAINTENANCE SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-27",
        "last_updated": "2009-08-27",
        "status": "A",
        "authorized_official_last_name": "COLLINS",
        "authorized_official_first_name": "GLEN",
        "authorized_official_middle_name": "P.",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "985-384-2003",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "LA",
            "license": "ADC2513",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1960870",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BIMS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Berwick, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 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.

Verify at the official NPI Registry.