NPIMap

Organization Active NPI

Lil Lus Booming Enterprise, Inc

  • Home Health Agency
  • Violet, LA
National Provider Identifier
1619000700
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
PCA10033 Issued in LA
Legal business name
LIL LUS BOOMING ENTERPRISE, INC
Practice address
6201 E Saint Bernard Hwy Ste E
Violet, LA 70092-3459
Phone
(504) 682-2440
Fax
(504) 682-6668
NPI assigned
Mar 14, 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
Mrs. Barbara Manuel
Title
President
Phone
(504) 682-2440

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X PCA10033 LA Primary

Addresses

Primary practice location

6201 E Saint Bernard Hwy Ste E
Violet, LA 70092-3459

Mailing address

6201 E Saint Bernard Hwy Ste E
Violet, LA 70092-3459
Phone (504) 682-2440

Other identifiers 1

IdentifierTypeStateIssuer
1124451MedicaidLA

National Provider Directory

National Provider Directory
Tax ID family
Lil Lus Booming Enterprise Inc4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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": "1173830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1619000700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6201 E SAINT BERNARD HWY STE E",
            "city": "VIOLET",
            "state": "LA",
            "postal_code": "700923459",
            "telephone_number": "504-682-2440",
            "fax_number": "504-682-6668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6201 E SAINT BERNARD HWY STE E",
            "city": "VIOLET",
            "state": "LA",
            "postal_code": "700923459",
            "telephone_number": "504-682-2440",
            "fax_number": "504-682-6668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIL LUS BOOMING ENTERPRISE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MANUEL",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "504-682-2440",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "LA",
            "license": "PCA10033",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1124451",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Violet, 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.