Ekhaya Youth Project, Inc.

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

EKHAYA YOUTH PROJECT, INC.

Practice address

1112 5TH St
Gretna, LA 70053-6008

Phone

(504) 858-4673

Fax

(855) 662-4366

NPI assigned

Jul 6, 2012

Organization subpart

Yes

Parent organization

EKHAYA YOUTH PROJECT, INC.As reported in NPPES

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

Authorized official

Name

Mr. Darrin Leon Harris

Title

Chief Executive Officer

Phone

(504) 858-4673

Specialties & licenses 2

Addresses

Other names 1

• Louisiana Statewide Family Support Organization Other name

Tax ID family

Ekhaya Youth2 organizations share this tax ID, including this one

Part of

Ekhaya Youth

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Ekhaya Youth

  • Community/Behavioral Health Agency
  • New Orleans, LA
  • NPI 1093168387
  NPD tax ID

Locations

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

{
    "created_epoch": "1341532800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1448323200000",
    "number": "1659636561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1112 5TH ST",
            "city": "GRETNA",
            "state": "LA",
            "postal_code": "700536008",
            "telephone_number": "504-267-0470",
            "fax_number": "855-662-4366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1112 5TH ST",
            "city": "GRETNA",
            "state": "LA",
            "postal_code": "700536008",
            "telephone_number": "504-858-4673",
            "fax_number": "855-662-4366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EKHAYA YOUTH PROJECT, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "EKHAYA YOUTH PROJECT, INC.",
        "enumeration_date": "2012-07-06",
        "last_updated": "2015-11-24",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "DARRIN",
        "authorized_official_middle_name": "LEON",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "504-858-4673",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "385HR2055X",
            "taxonomy_group": "",
            "desc": "Respite Care, Respite Care, Mental Illness, Child",
            "state": "LA",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Louisiana Statewide Family Support Organization",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• E.B. Ross, Jr MD-Stephen D Goodwin, MD
• Shelita Edgerson
• Latasha D Edwards
• Charles Ekenta
• Ekhaya Youth Project
• Lasonja Monique Eleby
• Tanyell Ellis
• Emmons Counseling, LLC
• Endodontic Associates LLC
• John F. Engle, M.D.

• Community/Behavioral Health Agency in Gretna, LA
• Providers in Gretna, LA by specialty
• Community/Behavioral Health Agency in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2015; 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.