NPIMap

Organization Active NPI

Volunteers of America Southeast Louisiana, Inc.

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Slidell, LA
National Provider Identifier
1558533554
Registry record updated Sep 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X
License
372 Issued in LA
Legal business name
VOLUNTEERS OF AMERICA SOUTHEAST LOUISIANA, INC.
Practice address
640 Magnolia St
Slidell, LA 70460-1828
Phone
(504) 835-3005
Fax
(504) 835-0409
NPI assigned
Mar 31, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2024

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

Authorized official

Name
Jason Burt
Title
Evp of Enterprise & Administratio
Phone
(504) 486-8674

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X 372 LA Primary

Addresses

Primary practice location

640 Magnolia St
Slidell, LA 70460-1828

Mailing address

4152 Canal St
New Orleans, LA 70119-5941
Phone (504) 835-3005

Other identifiers 1

IdentifierTypeStateIssuer
1716791MedicaidLA

Other names 1

  • Community Living Services Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Volunteers of America SE la24 organizations share this tax ID, including this one

Other organizations with this tax ID 23

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

View all 23

Locations

640 Magnolia St
Slidell, LA 70460
Phone (504) 835-3005

NPI Registry JSON

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

{
    "created_epoch": "1206921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727049600000",
    "number": "1558533554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4152 CANAL ST",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701195941",
            "telephone_number": "504-835-3005",
            "fax_number": "504-835-0409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "640 MAGNOLIA ST",
            "city": "SLIDELL",
            "state": "LA",
            "postal_code": "704601828",
            "telephone_number": "504-835-3005",
            "fax_number": "504-835-0409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VOLUNTEERS OF AMERICA SOUTHEAST LOUISIANA, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-31",
        "last_updated": "2024-09-23",
        "certification_date": "2024-09-23",
        "status": "A",
        "authorized_official_last_name": "BURT",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "EVP OF ENTERPRISE & ADMINISTRATIO",
        "authorized_official_telephone_number": "504-486-8674"
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "LA",
            "license": "372",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1716791",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Community Living Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Slidell, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2024; 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.