Amerigroup Louisiana, Inc.

Primary specialty

Health Maintenance OrganizationTaxonomy code 302R00000X

Legal business name

AMERIGROUP LOUISIANA, INC.

Doing business as

Amerigroup Community Care

Practice address

3850 N Causeway Blvd
Suite 1160
Metairie, LA 70002-1752

Phone

(757) 962-6452

NPI assigned

Oct 31, 2011

Organization subpart

No

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

Authorized official

Name

Mr. George Stephen Bucher

Title

Chief Executive Officer

Phone

(757) 962-6452

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Amerigroup Community Care Doing business as

Locations

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

{
    "created_epoch": "1320019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1320019200000",
    "number": "1710263082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3850 N CAUSEWAY BLVD",
            "address_2": "SUITE 1160",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700021752",
            "telephone_number": "757-962-6452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3850 N CAUSEWAY BLVD",
            "address_2": "SUITE 1160",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700021752",
            "telephone_number": "757-962-6452"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMERIGROUP LOUISIANA, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-31",
        "last_updated": "2011-10-31",
        "status": "A",
        "authorized_official_last_name": "BUCHER",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "STEPHEN",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "757-962-6452",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "LA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2162519",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Amerigroup Community Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Health Maintenance Organization in Metairie, LA
• Providers in Metairie, LA by specialty
• Health Maintenance Organization in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2011; 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.