Organization Active NPI

Louisiana Community Care, Inc

  • Intellectual Disabilities Intermediate Care Facility
  • Ball, LA
National Provider Identifier
1659619062
Registry record updated Jan 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X
License
2673 Issued in LA
Legal business name
LOUISIANA COMMUNITY CARE, INC
Practice address
5803 Monroe Hwy
Ball, LA 71405-3362
Phone
(318) 640-2953
Fax
(318) 641-1976
NPI assigned
Jan 18, 2013
Last updated
Jan 18, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2013

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

Authorized official

Name
Mr. Albert E Blackman
Title
Owner
Phone
(318) 640-2953

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual Disabilities Intermediate Care Facility 315P00000X 2673 LA Primary

Addresses

Primary practice location

5803 Monroe Hwy
Ball, LA 71405-3362

Mailing address

5803 Monroe Hwy
Ball, LA 71405-3362
Phone (318) 640-2953

National Provider Directory

National Provider Directory

Locations

5803 Monroe Hwy
Ball, LA 71405
Phone (318) 640-2953

NPI Registry JSON

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

{
    "created_epoch": "1358467200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358467200000",
    "number": "1659619062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5803 MONROE HWY",
            "city": "BALL",
            "state": "LA",
            "postal_code": "714053362",
            "telephone_number": "318-640-2953",
            "fax_number": "318-641-1976"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5803 MONROE HWY",
            "city": "BALL",
            "state": "LA",
            "postal_code": "714053362",
            "telephone_number": "318-640-2953",
            "fax_number": "318-641-1976"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOUISIANA COMMUNITY CARE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-18",
        "last_updated": "2013-01-18",
        "status": "A",
        "authorized_official_last_name": "BLACKMAN",
        "authorized_official_first_name": "ALBERT",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "318-640-2953",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": "LA",
            "license": "2673",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ball, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2013; 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.