NPIMap

Organization Active NPI

Northeast Delta Human Services Authority

Doing business as R.I.S.E (Reaching Independence through Support & Education)

  • Substance Abuse Rehabilitation Facility
  • Monroe, LA
National Provider Identifier
1508671116
Registry record updated Feb 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
NORTHEAST DELTA HUMAN SERVICES AUTHORITY
Doing business as
R.I.S.E (Reaching Independence through Support & Education)
Practice address
4781 S Grand St
Monroe, LA 71202-6403
Phone
(318) 362-3270
Fax
(318) 362-5051
NPI assigned
Feb 11, 2025
Last updated
Feb 11, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
NORTHEAST DELTA HUMAN SERVICES AUTHORITYAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 11, 2025

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

Authorized official

Name
Octavia Green
Title
Administrative Program Manager 2
Phone
(318) 362-3270

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X Primary

Addresses

Primary practice location

4781 S Grand St
Monroe, LA 71202-6403

Mailing address

4781 S Grand St
Monroe, LA 71202-6403
Phone (318) 362-3270

Other names 1

  • R.I.S.E (Reaching Independence through Support & Education) Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Northeast Delta Human Services Authority14 organizations share this tax ID, including this one
Part of
Northeast Delta Human Services Authority

Other organizations with this tax ID 13

Organizations that report the same tax identification number in the National Provider Directory.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1739232000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739232000000",
    "number": "1508671116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4781 S GRAND ST",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712026403",
            "telephone_number": "318-362-3270",
            "fax_number": "318-362-5051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4781 S GRAND ST",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712026403",
            "telephone_number": "318-362-3270",
            "fax_number": "318-362-5051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHEAST DELTA HUMAN SERVICES AUTHORITY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NORTHEAST DELTA HUMAN SERVICES AUTHORITY",
        "enumeration_date": "2025-02-11",
        "last_updated": "2025-02-11",
        "certification_date": "2025-02-11",
        "status": "A",
        "authorized_official_last_name": "GREEN",
        "authorized_official_first_name": "OCTAVIA",
        "authorized_official_title_or_position": "ADMINISTRATIVE PROGRAM MANAGER 2",
        "authorized_official_telephone_number": "318-362-3270"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "R.I.S.E (Reaching Independence through Support & Education)",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Feb 11, 2025; 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.