NPIMap

Organization Active NPI

Bethesda Adult Daycare Center, LLC

  • Developmentally Disabled Services Day Training Agency
  • Baton Rouge, LA
National Provider Identifier
1659619955
Registry record updated Jan 21, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
License
2203781483 Issued in LA
Legal business name
BETHESDA ADULT DAYCARE CENTER, LLC
Practice address
2289 Balis Dr
Baton Rouge, LA 70808-1742
Phone
(225) 303-4688
NPI assigned
Jan 21, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2013

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

Authorized official

Name
Mrs. Sharon Mallard
Title
Owner
Phone
(225) 303-4688

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X 2203781483 LA Primary

Addresses

Primary practice location

2289 Balis Dr
Baton Rouge, LA 70808-1742

Mailing address

2289 Balis Dr
Baton Rouge, LA 70808-1742
Phone (225) 303-4688

Other identifiers 1

IdentifierTypeStateIssuer
2203781483MedicaidLA

National Provider Directory

National Provider Directory

Locations

2289 Balis Dr
Baton Rouge, LA 70808
Phone (225) 303-4688

NPI Registry JSON

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

{
    "created_epoch": "1358726400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358726400000",
    "number": "1659619955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2289 BALIS DR",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708081742",
            "telephone_number": "225-303-4688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2289 BALIS DR",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708081742",
            "telephone_number": "225-303-4688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BETHESDA ADULT DAYCARE CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-21",
        "last_updated": "2013-01-21",
        "status": "A",
        "authorized_official_last_name": "MALLARD",
        "authorized_official_first_name": "SHARON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "225-303-4688",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "LA",
            "license": "2203781483",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2203781483",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Baton Rouge, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 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.