NPIMap

Organization Active NPI

Red River Council on Aging, Inc.

  • Adult Companion
  • Coushatta, LA
National Provider Identifier
1679785976
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult CompanionTaxonomy code 372600000X
Legal business name
RED RIVER COUNCIL ON AGING, INC.
Practice address
1825 Front Street
Coushatta, LA 71019
Phone
(318) 932-5721
Fax
(318) 932-9572
NPI assigned
May 7, 2007
Last updated
Sep 11, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Ms. Mary S. Wailes
Title
Executive Director
Phone
(318) 932-5721

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Companion 372600000X Primary
Personal Care Attendant 3747P1801X

Addresses

Primary practice location

1825 Front Street
Coushatta, LA 71019

Mailing address

P.O. Drawer 688
Coushatta, LA 71019
Phone (318) 932-5721

Other identifiers 2

IdentifierTypeStateIssuer
1963836MedicaidLA
1171794MedicaidLA

National Provider Directory

National Provider Directory
Tax ID family
Red River Council on Aging Inc3 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.

NPI Registry JSON

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

{
    "created_epoch": "1178496000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1679785976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. DRAWER 688",
            "city": "COUSHATTA",
            "state": "LA",
            "postal_code": "71019",
            "telephone_number": "318-932-5721",
            "fax_number": "318-932-9572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1825 FRONT STREET",
            "city": "COUSHATTA",
            "state": "LA",
            "postal_code": "71019",
            "telephone_number": "318-932-5721",
            "fax_number": "318-932-9572"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RED RIVER COUNCIL ON AGING, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-07",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "WAILES",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "318-932-5721",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "372600000X",
            "taxonomy_group": "",
            "desc": "Adult Companion",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3747P1801X",
            "taxonomy_group": "",
            "desc": "Technician, Personal Care Attendant",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1963836",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1171794",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Coushatta, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.