NPIMap

Organization Active NPI

Caldwell Council on Aging

  • Case Management Agency
  • Columbia, LA
National Provider Identifier
1528280674
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
License
CM2302 Issued in LA
Legal business name
CALDWELL COUNCIL ON AGING
Practice address
307 Main Street
Columbia, LA 71435-1498
Phone
(318) 649-2584
Fax
(318) 649-7600
NPI assigned
May 2, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dottie E Etheridge
Title
Executive Director
Phone
(318) 649-2584

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X CM2302 LA Primary

Addresses

Primary practice location

307 Main Street
Columbia, LA 71435-1498

Mailing address

307 Main Street
PO Box 1498
Columbia, LA 71435-1498
Phone (318) 649-2584

Other identifiers 1

IdentifierTypeStateIssuer
1548065MedicaidLA

National Provider Directory

National Provider Directory
Tax ID family
Caldwell Council on Aging5 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": "1178064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1528280674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "307 MAIN STREET",
            "address_2": "PO BOX 1498",
            "city": "COLUMBIA",
            "state": "LA",
            "postal_code": "714351498",
            "telephone_number": "318-649-2584",
            "fax_number": "318-649-7600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "307 MAIN STREET",
            "city": "COLUMBIA",
            "state": "LA",
            "postal_code": "714351498",
            "telephone_number": "318-649-2584",
            "fax_number": "318-649-7600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CALDWELL COUNCIL ON AGING",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ETHERIDGE",
        "authorized_official_first_name": "DOTTIE",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "318-649-2584"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "LA",
            "license": "CM2302",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1548065",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.