NPIMap

Organization Active NPI

An Angel's Touch of the River Region Inc

  • Health Maintenance Organization
  • La Place, LA
National Provider Identifier
1730369869
Registry record updated Nov 6, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Maintenance OrganizationTaxonomy code 302R00000X
License
9580 Issued in LA
Legal business name
AN ANGEL'S TOUCH OF THE RIVER REGION INC
Practice address
121 Marie St
La Place, LA 70068-4175
Phone
(987) 651-7887
NPI assigned
Nov 6, 2007
Last updated
Nov 6, 2007By the provider in NPPES
Organization subpart
Yes
Parent organization
AN ANGEL'S TOUCH OF THE RIVER REGION INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 6, 2007

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

Authorized official

Name
Mr. Kenneth Avery Victor
Title
Administor
Phone
(985) 651-7887

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Maintenance Organization 302R00000X 9580 LA Primary

Addresses

Primary practice location

121 Marie St
La Place, LA 70068-4175

Mailing address

121 Marie St
La Place, LA 70068-4175
Phone (987) 651-7887

Other identifiers 1

IdentifierTypeStateIssuer
1173291MedicaidLA

National Provider Directory

National Provider Directory
Tax ID family
An Angel's Touch of the River Region Inc4 organizations share this tax ID, including this one
Part of
An Angel's Touch of the River Region Inc

Other organizations with this tax ID 3

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": "1194307200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194307200000",
    "number": "1730369869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 MARIE ST",
            "city": "LA PLACE",
            "state": "LA",
            "postal_code": "700684175",
            "telephone_number": "987-651-7887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 MARIE ST",
            "city": "LA PLACE",
            "state": "LA",
            "postal_code": "700684175",
            "telephone_number": "987-651-7887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AN ANGEL'S TOUCH OF THE RIVER REGION INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "AN ANGEL'S TOUCH OF THE RIVER REGION INC",
        "enumeration_date": "2007-11-06",
        "last_updated": "2007-11-06",
        "status": "A",
        "authorized_official_last_name": "VICTOR",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "AVERY",
        "authorized_official_title_or_position": "ADMINISTOR",
        "authorized_official_telephone_number": "985-651-7887",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "LA",
            "license": "9580",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1173291",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in La Place, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2007; 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.