NPIMap

Organization Active NPI

Life Time Personal Care Service, LLC

  • Developmentally Disabled Services Day Training Agency
  • New Orleans, LA
National Provider Identifier
1669505798
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
License
11694 Issued in LA
Legal business name
LIFE TIME PERSONAL CARE SERVICE, LLC
Practice address
1010 Common St
Suite 2660
New Orleans, LA 70112-2401
Phone
(504) 962-3101
NPI assigned
Mar 14, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Sandra Delaine Thrash
Title
Owner
Phone
(504) 962-3101

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X 11694 LA Primary

Addresses

Primary practice location

1010 Common St
Suite 2660
New Orleans, LA 70112-2401

Mailing address

1010 Common St
Suite 2660
New Orleans, LA 70112-2401
Phone (504) 962-3101

Other identifiers 2

IdentifierTypeStateIssuer
1471275MedicaidLA
1165271MedicaidLA

National Provider Directory

National Provider Directory
Tax ID family
Life Time Personal Care Service3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

1010 Common St
Ste 2660
New Orleans, LA 70112
Phone (504) 962-3101

NPI Registry JSON

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

{
    "created_epoch": "1173830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1669505798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 COMMON ST",
            "address_2": "SUITE 2660",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701122401",
            "telephone_number": "504-962-3101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 COMMON ST",
            "address_2": "SUITE 2660",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701122401",
            "telephone_number": "504-962-3101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE TIME PERSONAL CARE SERVICE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "THRASH",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_middle_name": "DELAINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "504-962-3101",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "LA",
            "license": "11694",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1471275",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1165271",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Orleans, LA

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.

Verify at the official NPI Registry.