NPIMap

Organization Active NPI

Marie'S Family Healthcare

  • In Home Supportive Care Agency
  • Tallulah, LA
National Provider Identifier
1619144037
Registry record updated Aug 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
MARIE'S FAMILY HEALTHCARE
Practice address
700 E Green St
Tallulah, LA 71282-3823
Phone
(318) 574-9009
Fax
(318) 574-9926
NPI assigned
May 14, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2022

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

Authorized official

Name
Matilda Johnson
Title
Owner/Exec. Director
Phone
(318) 341-2775

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary
Personal Care AttendantGroup: 193400000X SINGLE SPECIALTY GROUP 3747P1801X 14056 LA

Addresses

Primary practice location

700 E Green St
Tallulah, LA 71282-3823

Mailing address

PO Box 1404
Tallulah, LA 71284-1404
Phone (318) 574-9009

Other identifiers 2

IdentifierTypeStateIssuer
1173169MedicaidLA
1124753MedicaidLA

National Provider Directory

National Provider Directory
Tax ID family
Marie'S Family Healthcare Sitter Service Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

700 E Green St
Tallulah, LA 71282
Phone (318) 574-9009

NPI Registry JSON

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

{
    "created_epoch": "1210723200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660003200000",
    "number": "1619144037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1404",
            "city": "TALLULAH",
            "state": "LA",
            "postal_code": "712841404",
            "telephone_number": "318-574-9009",
            "fax_number": "318-574-9926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 E GREEN ST",
            "city": "TALLULAH",
            "state": "LA",
            "postal_code": "712823823",
            "telephone_number": "318-574-9009",
            "fax_number": "318-574-9926"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARIE'S FAMILY HEALTHCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-14",
        "last_updated": "2022-08-09",
        "certification_date": "2022-08-09",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "MATILDA",
        "authorized_official_title_or_position": "OWNER/EXEC. DIRECTOR",
        "authorized_official_telephone_number": "318-341-2775"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3747P1801X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician, Personal Care Attendant",
            "state": "LA",
            "license": "14056",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1173169",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1124753",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tallulah, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 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.