NPIMap

Organization Active NPI

A&E Advantage

  • Case Management Agency
  • Des Allemands, LA
National Provider Identifier
1699806398
Registry record updated Jun 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
License
CM4890 Issued in LA
Legal business name
A&E ADVANTAGE
Practice address
107 Warren Dr
Des Allemands, LA 70030-3338
Phone
(985) 758-2394
Fax
(985) 758-3742
NPI assigned
Mar 7, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2008

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

Authorized official

Name
Mrs. Alvina Collins Matherne, MADS
Title
Administration
Phone
(985) 758-2394

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X CM4890 LA Primary

Addresses

Primary practice location

107 Warren Dr
Des Allemands, LA 70030-3338

Mailing address

107 Warren Dr
Des Allemands, LA 70030-3338
Phone (985) 758-2394

Other identifiers 1

IdentifierTypeStateIssuer
1621366MedicaidLA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1173225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213142400000",
    "number": "1699806398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 WARREN DR",
            "city": "DES ALLEMANDS",
            "state": "LA",
            "postal_code": "700303338",
            "telephone_number": "985-758-2394",
            "fax_number": "985-758-3742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 WARREN DR",
            "city": "DES ALLEMANDS",
            "state": "LA",
            "postal_code": "700303338",
            "telephone_number": "985-758-2394",
            "fax_number": "985-758-3742"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A&E ADVANTAGE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-07",
        "last_updated": "2008-06-11",
        "status": "A",
        "authorized_official_last_name": "MATHERNE",
        "authorized_official_first_name": "ALVINA",
        "authorized_official_middle_name": "COLLINS",
        "authorized_official_title_or_position": "ADMINISTRATION",
        "authorized_official_telephone_number": "985-758-2394",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MADS"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "LA",
            "license": "CM4890",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1621366",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Des Allemands, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2008; 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.