NPIMap

Organization Active NPI

Independent Living Center, Inc.

  • Home Health Agency
  • Metairie, LA
National Provider Identifier
1760697288
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
INDEPENDENT LIVING CENTER, INC.
Practice address
401 Veterans Memorial Boulevad
Suite 100
Metairie, LA 70005-2957
Phone
(504) 841-0591
Fax
(504) 841-0595
NPI assigned
May 10, 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
Ms. Joan B Meunier
Title
President
Phone
(504) 841-0591

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X LA Primary

Addresses

Primary practice location

401 Veterans Memorial Boulevad
Suite 100
Metairie, LA 70005-2957

Mailing address

401 Veterans Memorial Boulevad
Suite 100
Metairie, LA 70005-2957
Phone (504) 841-0591

Other identifiers 3

IdentifierTypeStateIssuer
1171379MedicaidLA
1923796MedicaidLA
19662720MedicaidLA

National Provider Directory

National Provider Directory

Locations

401 Veterans Memorial Blvd
Ste 100
Metairie, LA 70005
Phone (504) 841-0591

NPI Registry JSON

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

{
    "created_epoch": "1178755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1760697288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 VETERANS MEMORIAL BOULEVAD",
            "address_2": "SUITE 100",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700052957",
            "telephone_number": "504-841-0591",
            "fax_number": "504-841-0595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 VETERANS MEMORIAL BOULEVAD",
            "address_2": "SUITE 100",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700052957",
            "telephone_number": "504-841-0591",
            "fax_number": "504-841-0595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDEPENDENT LIVING CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MEUNIER",
        "authorized_official_first_name": "JOAN",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "504-841-0591",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "LA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1171379",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1923796",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "19662720",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Metairie, 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.