Antongio Humphery

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

2439 Manhattan Blvd Ste 301
Harvey, LA 70058

Phone

(504) 309-4628

NPI assigned

Dec 27, 2016

Last updated

Jul 15, 2019By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Ameliorable Solutions

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Harvey, LA
  • NPI 1477927952
  NPD (past)

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

{
    "created_epoch": "1482796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563148800000",
    "number": "1750826939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "815 RICHARD ST",
            "city": "GRETNA",
            "state": "LA",
            "postal_code": "700534829",
            "telephone_number": "504-575-8271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2439 MANHATTAN BLVD STE 301",
            "city": "HARVEY",
            "state": "LA",
            "postal_code": "70058",
            "telephone_number": "504-309-4628"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUMPHERY",
        "first_name": "ANTONGIO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-12-27",
        "last_updated": "2019-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jazmin Houston
• Larriesha Houston, RN
• Rarelle Howard
• Shelby L Howder, MS, CCC-SLP
• Lana Duncan Huling, NURSE PRACTITIONER
• Alvin Hunt Jr., RSW, MSW
• Brian Hunter
• Hanan T Ibrahim
• Immunolase LLC
• Impact Behavior Health Services LLC.

• Case Manager/Care Coordinator in Harvey, LA
• Providers in Harvey, LA by specialty
• Case Manager/Care Coordinator in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2019; 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.