NPIMap

Organization Active NPI

Exodus House, LLC

  • Mental Illness Community Based Residential Treatment Facility
  • New Orleans, LA
National Provider Identifier
1689960262
Registry record updated Jan 27, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X
Legal business name
EXODUS HOUSE, LLC
Practice address
3000 Lasalle St
New Orleans, LA 70115-5706
Phone
(504) 891-7320
Fax
(504) 891-7337
NPI assigned
Jun 22, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2015

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

Authorized official

Name
Mr. Donald Ray Wilkerson
Title
President
Phone
(504) 891-7320

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Illness Community Based Residential Treatment Facility 320800000X Primary

Addresses

Primary practice location

3000 Lasalle St
New Orleans, LA 70115-5706

Mailing address

3000 Lasalle St
3012 Newtons Crest Cir
New Orleans, LA 70115-5706
Phone (504) 891-7320

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1308700800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1422316800000",
    "number": "1689960262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3000 LASALLE ST",
            "address_2": "3012 NEWTONS CREST CIR",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701155706",
            "telephone_number": "504-891-7320",
            "fax_number": "504-891-7337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 LASALLE ST",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701155706",
            "telephone_number": "504-891-7320",
            "fax_number": "504-891-7337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXODUS HOUSE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-22",
        "last_updated": "2015-01-27",
        "status": "A",
        "authorized_official_last_name": "WILKERSON",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "RAY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "504-891-7320",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jan 27, 2015; 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.