NPIMap

Organization Active NPI

Compassion Community Serv LLC

  • Attendant Care Provider
  • New Iberia, LA
National Provider Identifier
1629244439
Registry record updated May 27, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Attendant Care ProviderTaxonomy code 3747A0650X
License
PCA12828 Issued in LA
Legal business name
COMPASSION COMMUNITY SERV LLC
Practice address
910 E Main St
Suite 23
New Iberia, LA 70560
Phone
(337) 367-5858
Fax
(337) 364-1081
NPI assigned
May 1, 2008
Last updated
May 27, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 27, 2008

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

Authorized official

Name
Mr. Willie Mitchell Jr.
Title
Pres Ceo
Phone
(337) 367-5858

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Companion 372600000X PCA12828 LA
Attendant Care Provider 3747A0650X PCA12828 LA Primary
Personal Care Attendant 3747P1801X PCA12828 LA

Addresses

Primary practice location

910 E Main St
Suite 23
New Iberia, LA 70560

Mailing address

PO Box 11857
New Iberia, LA 70562-1857
Phone (337) 367-5858

Other identifiers 1

IdentifierTypeStateIssuer
1170496MedicaidLA

National Provider Directory

National Provider Directory
Tax ID family
Compassion Community Serv LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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": "1209600000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211846400000",
    "number": "1629244439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11857",
            "city": "NEW IBERIA",
            "state": "LA",
            "postal_code": "705621857",
            "telephone_number": "337-367-5858",
            "fax_number": "337-364-1081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "910 E MAIN ST",
            "address_2": "SUITE 23",
            "city": "NEW IBERIA",
            "state": "LA",
            "postal_code": "70560",
            "telephone_number": "337-367-5858",
            "fax_number": "337-364-1081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPASSION COMMUNITY SERV LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-01",
        "last_updated": "2008-05-27",
        "status": "A",
        "authorized_official_last_name": "MITCHELL",
        "authorized_official_first_name": "WILLIE",
        "authorized_official_title_or_position": "PRES CEO",
        "authorized_official_telephone_number": "337-367-5858",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "372600000X",
            "taxonomy_group": "",
            "desc": "Adult Companion",
            "state": "LA",
            "license": "PCA12828",
            "primary": false
        },
        {
            "code": "3747A0650X",
            "taxonomy_group": "",
            "desc": "Technician, Attendant Care Provider",
            "state": "LA",
            "license": "PCA12828",
            "primary": true
        },
        {
            "code": "3747P1801X",
            "taxonomy_group": "",
            "desc": "Technician, Personal Care Attendant",
            "state": "LA",
            "license": "PCA12828",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1170496",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Iberia, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 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.