NPIMap

Organization Active NPI

MQVN Community Development Corporation

  • Federally Qualified Health Center (FQHC)
  • New Orleans, LA
National Provider Identifier
1679875744
Registry record updated May 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
MQVN COMMUNITY DEVELOPMENT CORPORATION
Doing business as
NOELA Community Health Center
Practice address
13085 Chef Menteur Hwy
New Orleans, LA 70129-1804
Phone
(504) 255-8665
Fax
(504) 254-6447
NPI assigned
Nov 23, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 8, 2025

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

Authorized official

Name
Jace Cacioppo
Title
Compliance and Credentialing Office
Phone
(504) 249-5834

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X Primary

Addresses

Primary practice location

13085 Chef Menteur Hwy
New Orleans, LA 70129-1804

Mailing address

13085 Chef Menteur Hwy
New Orleans, LA 70129-1804
Phone (504) 255-8665

Other identifiers 2

IdentifierTypeStateIssuer
2136640MedicaidLA
2111108MedicaidLA

Other names 1

  • NOELA Community Health Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20100312000623 LA Part B Supplier - Clinic/Group Practice 4486789682 Receives reassigned benefits from 5 practitioners
2 other NPIs on this enrollment
Practice locations: New Orleans, LA
O20101122000295 LA Part A Provider - Federally Qualified Health Center (FQHC) 4486789682 Practice locations: New Orleans, LA

Federally qualified health center certification: CCN 191885

Legal name
MQVN COMMUNITY DEVELOPMENT CORPORATION
Doing business as
NOELA COMMUNITY HEALTH CENTER
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
May 20, 2011
Last certification
May 20, 2011
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Enrollment address
13085 Chef Menteur Hwy
New Orleans, LA 70129-1804

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

14401 Chef Menteur Hwy
Ste C
New Orleans, LA 70129
Phone (504) 662-0644

13085 Chef Menteur Hwy
New Orleans, LA 70129
Phone (504) 255-8665

Ownership & related parties

All disclosed owners & managing parties 2

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
MQVN Community Development Corporation Organization, New Orleans, LA Corporation, Non-profit Operational/Managerial Control Nov 15, 2010
Diem Nguyen Individual W-2 Managing Employee Nov 15, 2010

Practitioners & affiliated clinicians

Practitioners 13

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1290470400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1746662400000",
    "number": "1679875744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13085 CHEF MENTEUR HWY",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701291804",
            "telephone_number": "504-255-8665",
            "fax_number": "504-254-6447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13085 CHEF MENTEUR HWY",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701291804",
            "telephone_number": "504-255-8665",
            "fax_number": "504-254-6447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MQVN COMMUNITY DEVELOPMENT CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-23",
        "last_updated": "2025-05-08",
        "certification_date": "2025-05-08",
        "status": "A",
        "authorized_official_last_name": "CACIOPPO",
        "authorized_official_first_name": "JACE",
        "authorized_official_title_or_position": "COMPLIANCE AND CREDENTIALING OFFICE",
        "authorized_official_telephone_number": "504-249-5834"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2136640",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2111108",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NOELA Community Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in New Orleans, LA

Sources for this page

Verify at the official NPI Registry.