NPIMap

Organization Active NPI

Jastay Enterprises Inc

  • PACE Provider Organization
  • Bastrop, LA
National Provider Identifier
1760690754
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PACE Provider OrganizationTaxonomy code 251T00000X
License
10768 Issued in LA
Legal business name
JASTAY ENTERPRISES INC
Practice address
117 N Washington St
Bastrop, LA 71220
Phone
(318) 556-3378
Fax
(318) 283-5200
NPI assigned
May 21, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Cynthia Faye Taylor
Title
Owner
Phone
(318) 556-3378

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
PACE Provider Organization 251T00000X 10768 LA Primary
PACE Provider Organization 251T00000X 10769 LA

Addresses

Primary practice location

117 N Washington St
Bastrop, LA 71220

Mailing address

117 N Washington St
Bastrop, LA 71220
Phone (318) 556-3378

Other identifiers 4

IdentifierTypeStateIssuer
1438260OtherLAPCA
1453960OtherLACHILDRENS CHOICE
1470538MedicaidLA
1569275OtherLASIL

National Provider Directory

National Provider Directory
Tax ID family
Jastay Enterprises Inc4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

117 N Washington St
Bastrop, LA 71220
Phone (318) 556-3378

NPI Registry JSON

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

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1760690754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 N WASHINGTON ST",
            "city": "BASTROP",
            "state": "LA",
            "postal_code": "71220",
            "telephone_number": "318-556-3378",
            "fax_number": "318-283-5200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 N WASHINGTON ST",
            "city": "BASTROP",
            "state": "LA",
            "postal_code": "71220",
            "telephone_number": "318-556-3378",
            "fax_number": "318-283-5200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JASTAY ENTERPRISES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "TAYLOR",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_middle_name": "FAYE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "318-556-3378",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251T00000X",
            "taxonomy_group": "",
            "desc": "Program of All-Inclusive Care for the Elderly (PACE) Provider Organization",
            "state": "LA",
            "license": "10768",
            "primary": true
        },
        {
            "code": "251T00000X",
            "taxonomy_group": "",
            "desc": "Program of All-Inclusive Care for the Elderly (PACE) Provider Organization",
            "state": "LA",
            "license": "10769",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PCA",
            "identifier": "1438260",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHILDRENS CHOICE",
            "identifier": "1453960",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1470538",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SIL",
            "identifier": "1569275",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bastrop, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.