Organization Active NPI

Hansberry Adult Day Health Care, LLC

  • Nursing Care Agency
  • Grand Coteau, LA
National Provider Identifier
1548465867
Registry record updated Jul 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Care AgencyTaxonomy code 251J00000X
License
3010 Issued in LA
Legal business name
HANSBERRY ADULT DAY HEALTH CARE, LLC
Practice address
1606 I-49 N. Service Rd
Grand Coteau, LA 70541
Phone
(337) 662-5944
Fax
(337) 662-5974
NPI assigned
Jun 18, 2007
Last updated
Jul 13, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2022

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

Authorized official

Name
Mrs. Mary Chaisson Hansberry
Title
President
Phone
(337) 662-5944

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Care Agency 251J00000X 3010 LA Primary

Addresses

Primary practice location

1606 I-49 N. Service Rd
Grand Coteau, LA 70541

Mailing address

PO Box 184
Grand Coteau, LA 70541-0184
Phone (337) 662-5944

Other identifiers 1

IdentifierTypeStateIssuer
1622575MedicaidLA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
19D1037734Hansberry Adult Day Health Care LLC1606 I-49 N Service Rd, Grand Coteau, LA 70541Certificate of waiverMar 2, 2027

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1182124800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1657670400000",
    "number": "1548465867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 184",
            "city": "GRAND COTEAU",
            "state": "LA",
            "postal_code": "705410184",
            "telephone_number": "337-662-5944",
            "fax_number": "337-662-5974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1606 I-49 N. SERVICE RD",
            "city": "GRAND COTEAU",
            "state": "LA",
            "postal_code": "70541",
            "telephone_number": "337-662-5944",
            "fax_number": "337-662-5974"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HANSBERRY ADULT DAY HEALTH CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-18",
        "last_updated": "2022-07-13",
        "certification_date": "2022-06-30",
        "status": "A",
        "authorized_official_last_name": "HANSBERRY",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "CHAISSON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "337-662-5944",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "LA",
            "license": "3010",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1622575",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Coteau, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.