Active NPI
First Chance Independent Living, Inc
- Home Health Agency
- Baton Rouge, LA
National Provider Identifier
1659596039
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 12020
- Legal business name
- FIRST CHANCE INDEPENDENT LIVING, INC
- Practice address
- 414 N Acadian Thruway
Baton Rouge, LA 70806-3260 - Phone
- (225) 383-1525
- Fax
- (225) 383-1525
- NPI assigned
- Apr 13, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Johnny Omar Wallace
- Title
- President
- Phone
- (225) 383-1525
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 12020 | LA | Primary |
Addresses
Primary practice location
414 N Acadian Thruway
Baton Rouge, LA 70806-3260
Mailing address
414 N Acadian Thruway
Baton Rouge, LA 70806-3260
Phone (225) 383-1525
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1469726 | Medicaid | LA | |
| 1469718 | Medicaid | LA |
National Provider Directory
National Provider Directory- Tax ID family
- First Chance Independent Living Inc
Other organizations with this tax ID 3
Organizations that report the same tax identification number in the National Provider Directory.
-
- Home Health Agency
- Baton Rouge, LA
- NPI 1992900385
-
- Home Health Agency
- Baton Rouge, LA
- NPI 1497930473
-
- Home Health Agency
- Baton Rouge, LA
- NPI 1699950675
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176422400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1659596039",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "414 N ACADIAN THRUWAY",
"city": "BATON ROUGE",
"state": "LA",
"postal_code": "708063260",
"telephone_number": "225-383-1525",
"fax_number": "225-383-1525"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "414 N ACADIAN THRUWAY",
"city": "BATON ROUGE",
"state": "LA",
"postal_code": "708063260",
"telephone_number": "225-383-1525",
"fax_number": "225-383-1525"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FIRST CHANCE INDEPENDENT LIVING, INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-04-13",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "WALLACE",
"authorized_official_first_name": "JOHNNY",
"authorized_official_middle_name": "OMAR",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "225-383-1525"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "LA",
"license": "12020",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1469726",
"state": "LA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1469718",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Baton Rouge, LA
- Janet Joy Finta, LCSW, LAC
- Kristie L Firmin, PA
- First Care Physician
- First Chance Independent Living
- First Chance Independent Living, Inc
- First Chance Independent Living, Inc
- First Choice Surgery Center of Baton Rouge, LLC
- First Health and Wellness Family Clinic
- First Parish Transportation Corp
- First Priority Medical, LLC
Sources for this page
- 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.