Desoto Council on the Aging, Inc.

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Legal business name

DESOTO COUNCIL ON THE AGING, INC.

Practice address

1004 Polk St
Mansfield, LA 71052-2523

Phone

(318) 872-0671

Fax

(318) 872-9473

NPI assigned

Jun 13, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Martha B Jones

Title

Executive Director

Phone

(318) 872-0671

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Desoto Council on Aging4 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.

• Desoto Council on Aging

  • Case Management Agency
  • Mansfield, LA
  • NPI 1639205487
  NPD tax ID
• Desoto Council on Aging, Inc.

  • Case Management Agency
  • Mansfield, LA
  • NPI 1770739906
  NPD tax ID
• Desoto Council on the Aging

  • Non-emergency Medical Transport (VAN)
  • Mansfield, LA
  • NPI 1912101890
  NPD tax ID

Locations

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

{
    "created_epoch": "1181692800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1649474529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1004 POLK ST",
            "city": "MANSFIELD",
            "state": "LA",
            "postal_code": "710522523",
            "telephone_number": "318-872-0671",
            "fax_number": "318-872-9473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1004 POLK ST",
            "city": "MANSFIELD",
            "state": "LA",
            "postal_code": "710522523",
            "telephone_number": "318-872-0671",
            "fax_number": "318-872-9473"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DESOTO COUNCIL ON THE AGING, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "MARTHA",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "318-872-0671",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1964352",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ticaya Davis
• Department of Health & Hospitals (Mansfield Behavioral Health Clinic)
• Desoto Council on Aging
• Desoto Council on Aging, Inc.
• Desoto Council on the Aging
• Desoto Healthcare Center Inc.
• Desoto Hospital Association (DeSoto Regional Family Medicine-Mansfield)
• Desoto Hospital Association
• Desoto Hospital Association (DeSoto Regional Health System)
• Desoto Hospital Association (Desoto Regional Health System)

• Case Management Agency in Mansfield, LA
• Providers in Mansfield, LA by specialty
• Case Management Agency in Louisiana

• 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.