Organization Active NPI

St. John Association for Retarded Citizens

  • Home Health Agency
  • La Place, LA
National Provider Identifier
1568502995
Registry record updated Jun 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
PCA 4824 Issued in LA
Legal business name
ST. JOHN ASSOCIATION FOR RETARDED CITIZENS
Practice address
101 Bamboo Road
Laplace, LA 70068
Phone
(985) 652-8003
Fax
(985) 652-2536
NPI assigned
Feb 7, 2007
Last updated
Jun 16, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2008

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

Authorized official

Name
Keith James Babin, B.S.
Title
Executive Director
Phone
(985) 652-8003

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X PCA 4824 LA Primary

Addresses

Primary practice location

101 Bamboo Road
Laplace, LA 70068

Mailing address

101 Bamboo Rd
La Place, LA 70068-6457
Phone (985) 652-8003

Other identifiers 1

IdentifierTypeStateIssuer
1692476MedicaidLA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1170806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213574400000",
    "number": "1568502995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 BAMBOO RD",
            "city": "LA PLACE",
            "state": "LA",
            "postal_code": "700686457",
            "telephone_number": "985-652-8003",
            "fax_number": "985-652-2536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 BAMBOO ROAD",
            "city": "LAPLACE",
            "state": "LA",
            "postal_code": "70068",
            "telephone_number": "985-652-8003",
            "fax_number": "985-652-2536"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. JOHN ASSOCIATION FOR RETARDED CITIZENS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-07",
        "last_updated": "2008-06-16",
        "status": "A",
        "authorized_official_last_name": "BABIN",
        "authorized_official_first_name": "KEITH",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "985-652-8003",
        "authorized_official_credential": "B.S."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "LA",
            "license": "PCA 4824",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1692476",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in La Place, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2008; 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.