Organization Active NPI

Gloria Phillips

  • PACE Provider Organization
  • Pineville, LA
National Provider Identifier
1619102258
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PACE Provider OrganizationTaxonomy code 251T00000X
Legal business name
GLORIA PHILLIPS
Practice address
108 Wayne St
Pineville, LA 71360-6733
Phone
(318) 201-2080
NPI assigned
May 27, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Mrs. Gloria Ann Phillips
Title
Owner
Phone
(318) 201-2080

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PACE Provider Organization 251T00000X LA Primary

Addresses

Primary practice location

108 Wayne St
Pineville, LA 71360-6733

Mailing address

108 Wayne St
Pineville, LA 71360-6733
Phone (318) 201-2080

Other names 1

  • Brianna sitting service Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1243382400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1619102258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 WAYNE ST",
            "city": "PINEVILLE",
            "state": "LA",
            "postal_code": "713606733",
            "telephone_number": "318-201-2080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 WAYNE ST",
            "city": "PINEVILLE",
            "state": "LA",
            "postal_code": "713606733",
            "telephone_number": "318-201-2080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLORIA PHILLIPS",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-27",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "PHILLIPS",
        "authorized_official_first_name": "GLORIA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "318-201-2080",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251T00000X",
            "taxonomy_group": "",
            "desc": "Program of All-Inclusive Care for the Elderly (PACE) Provider Organization",
            "state": "LA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brianna sitting service",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pineville, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.