Active NPI
Fabian Lloyd White Jr.
- Personal Care Attendant
- Ferriday, LA
National Provider Identifier
1679335822
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Personal Care Attendant
- Practice address
- 9168 Highway 84
Ferriday, LA 71334-4604 - Phone
- (601) 493-4710
- NPI assigned
- Jan 24, 2024
- Last updated
- Jul 18, 2024
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | LA | ||
| Personal Care Attendant | 3747P1801X | LA | Primary | |
| In Home Supportive Care Agency | 253Z00000X | NU |
Addresses
Primary practice location
9168 Highway 84
Ferriday, LA 71334-4604
Mailing address
9168 Highway 84
Ferriday, LA 71334-4604
Phone (601) 493-4710
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| At Heart Homecare LLC | In Home Supportive Care | Current | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1706054400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721260800000",
"number": "1679335822",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9168 HIGHWAY 84",
"city": "FERRIDAY",
"state": "LA",
"postal_code": "713344604",
"telephone_number": "601-493-4710"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9168 HIGHWAY 84",
"city": "FERRIDAY",
"state": "LA",
"postal_code": "713344604",
"telephone_number": "601-493-4710"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHITE",
"first_name": "FABIAN",
"middle_name": "LLOYD",
"name_prefix": "Mr.",
"name_suffix": "Jr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2024-01-24",
"last_updated": "2024-07-18",
"certification_date": "2024-07-18",
"status": "A"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "LA",
"license": null,
"primary": false
},
{
"code": "3747P1801X",
"taxonomy_group": "",
"desc": "Technician, Personal Care Attendant",
"state": "LA",
"license": null,
"primary": true
},
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ferriday, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.