NPIMap

Organization Active NPI

Hansberry Personal Care Services, LLC

  • Home Health Agency
  • Grand Coteau, LA
National Provider Identifier
1770754459
Registry record updated Mar 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
PCA 7255 Issued in LA
Legal business name
HANSBERRY PERSONAL CARE SERVICES, LLC
Practice address
307 Martin Luther King Jr. Dr
Grand Coteau, LA 70541
Phone
(337) 662-5944
Fax
(337) 662-5974
NPI assigned
Mar 20, 2008
Last updated
Mar 20, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2008

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

Authorized official

Name
Mrs. Mary Chaisson Hansberry
Title
Owner/ Director
Phone
(337) 662-5944

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X PCA 7255 LA Primary

Addresses

Primary practice location

307 Martin Luther King Jr. Dr
Grand Coteau, LA 70541

Mailing address

PO Box 184
Grand Coteau, LA 70541-0184
Phone (337) 662-5944

Other identifiers 3

IdentifierTypeStateIssuer
1008443MedicaidLA
1622575MedicaidLA
1020613MedicaidLA

National Provider Directory

National Provider Directory
Tax ID family
Hansberry Personal Care Services LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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": "1205971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205971200000",
    "number": "1770754459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 184",
            "city": "GRAND COTEAU",
            "state": "LA",
            "postal_code": "705410184",
            "telephone_number": "337-662-5944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "307 MARTIN LUTHER KING JR. DR",
            "city": "GRAND COTEAU",
            "state": "LA",
            "postal_code": "70541",
            "telephone_number": "337-662-5944",
            "fax_number": "337-662-5974"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HANSBERRY PERSONAL CARE SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-20",
        "last_updated": "2008-03-20",
        "status": "A",
        "authorized_official_last_name": "HANSBERRY",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "CHAISSON",
        "authorized_official_title_or_position": "OWNER/ DIRECTOR",
        "authorized_official_telephone_number": "337-662-5944",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "LA",
            "license": "PCA 7255",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1008443",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1622575",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1020613",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Coteau, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2008; 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.