NPIMap

Organization Active NPI

Lasting Impression Care, Inc.

  • Developmentally Disabled Services Day Training Agency
  • Harvey, LA
National Provider Identifier
1619164977
Registry record updated Oct 1, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
License
SIL20000 Issued in LA
Legal business name
LASTING IMPRESSION CARE, INC.
Practice address
2113 Spanish Oaks Dr
Harvey, LA 70058-3060
Phone
(504) 227-8343
Fax
(504) 227-8540
NPI assigned
Oct 1, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2007

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

Authorized official

Name
Mrs. Tru'Ieshia Anderson-Manard
Title
Ownerdirector
Phone
(504) 494-9246

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X SIL20000 LA Primary

Addresses

Primary practice location

2113 Spanish Oaks Dr
Harvey, LA 70058-3060

Mailing address

405 Gretna Blvd Ste 103C
Gretna, LA 70053-4945
Phone (504) 227-8343

Other identifiers 4

IdentifierTypeStateIssuer
1629383MedicaidLA
1723100MedicaidLA
1709735MedicaidLA
1725633MedicaidLA

National Provider Directory

National Provider Directory
Tax ID family
Lasting Impression Care Inc5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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": "1191196800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191196800000",
    "number": "1619164977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 GRETNA BLVD STE 103C",
            "city": "GRETNA",
            "state": "LA",
            "postal_code": "700534945",
            "telephone_number": "504-227-8343",
            "fax_number": "504-227-8540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2113 SPANISH OAKS DR",
            "city": "HARVEY",
            "state": "LA",
            "postal_code": "700583060",
            "telephone_number": "504-227-8343",
            "fax_number": "504-227-8540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LASTING IMPRESSION CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-01",
        "last_updated": "2007-10-01",
        "status": "A",
        "authorized_official_last_name": "ANDERSON-MANARD",
        "authorized_official_first_name": "TRU'IESHIA",
        "authorized_official_title_or_position": "OWNERDIRECTOR",
        "authorized_official_telephone_number": "504-494-9246",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "LA",
            "license": "SIL20000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1629383",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1723100",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1709735",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1725633",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Harvey, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2007; 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.