NPIMap

Organization Active NPI

Port City Enterprises, Inc.

  • Child Intellectual and/or Developmental Disabilities Respite Care
  • Port Allen, LA
National Provider Identifier
1679760516
Registry record updated Sep 25, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child Intellectual and/or Developmental Disabilities Respite CareTaxonomy code 385HR2060X
License
2263 Issued in LA
Legal business name
PORT CITY ENTERPRISES, INC.
Practice address
836 N 7TH St
Port Allen, LA 70767-0113
Phone
(225) 344-1142
Fax
(225) 344-1192
NPI assigned
Sep 25, 2007
Last updated
Sep 25, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2007

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

Authorized official

Name
Mrs. Christine C. Dunlevy, BSW
Title
Executive Director
Phone
(225) 344-1142

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Child Intellectual and/or Developmental Disabilities Respite Care 385HR2060X 2263 LA Primary

Addresses

Primary practice location

836 N 7TH St
Port Allen, LA 70767-0113

Mailing address

836 N 7TH St
PO Box 113
Port Allen, LA 70767
Phone (225) 344-1142

Other identifiers 1

IdentifierTypeStateIssuer
1911283MedicaidLA

National Provider Directory

National Provider Directory
Tax ID family
Port City Enterprises Inc6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

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

NPI Registry JSON

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

{
    "created_epoch": "1190678400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190678400000",
    "number": "1679760516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "836 N 7TH ST",
            "address_2": "PO BOX 113",
            "city": "PORT ALLEN",
            "state": "LA",
            "postal_code": "70767",
            "telephone_number": "225-344-1142",
            "fax_number": "225-344-1192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "836 N 7TH ST",
            "city": "PORT ALLEN",
            "state": "LA",
            "postal_code": "707670113",
            "telephone_number": "225-344-1142",
            "fax_number": "225-344-1192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PORT CITY ENTERPRISES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-25",
        "last_updated": "2007-09-25",
        "status": "A",
        "authorized_official_last_name": "DUNLEVY",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "225-344-1142",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "BSW"
    },
    "taxonomies": [
        {
            "code": "385HR2060X",
            "taxonomy_group": "",
            "desc": "Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child",
            "state": "LA",
            "license": "2263",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1911283",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Allen, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2007; 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.