NPIMap

Organization Active NPI

Easy Living Behavioral Health

  • Community/Behavioral Health Agency
  • Vidalia, LA
National Provider Identifier
1780191486
Registry record updated Jan 3, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
EASY LIVING BEHAVIORAL HEALTH
Practice address
1109 Carter St Ste 8
Vidalia, LA 71373-3227
Phone
(318) 734-0034
Fax
(318) 734-0035
NPI assigned
Jan 3, 2018
Organization subpart
Yes
Parent organization
EASY LIVING HOME CAREAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 3, 2018

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

Authorized official

Name
Lisa NicholsNPI 1568933042
Title
Administrator
Phone
(318) 376-0729

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

1109 Carter St Ste 8
Vidalia, LA 71373-3227

Mailing address

1109 Carter St Ste 8
Vidalia, LA 71373-3227
Phone (318) 734-0034

Other identifiers 1

IdentifierTypeStateIssuer
5782381MedicaidLA

National Provider Directory

National Provider Directory
Part of
Easy Living Home Care

Locations

1109 Carter St
Ste 8
Vidalia, LA 71373
Phone (318) 734-0034

1109 Carter St
Vidalia, LA 71373
Phone (318) 336-4700

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1514937600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1514937600000",
    "number": "1780191486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1109 CARTER ST STE 8",
            "city": "VIDALIA",
            "state": "LA",
            "postal_code": "713733227",
            "telephone_number": "318-734-0034",
            "fax_number": "318-734-0035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1109 CARTER ST STE 8",
            "city": "VIDALIA",
            "state": "LA",
            "postal_code": "713733227",
            "telephone_number": "318-734-0034",
            "fax_number": "318-734-0035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EASY LIVING BEHAVIORAL HEALTH",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "EASY LIVING HOME CARE",
        "enumeration_date": "2018-01-03",
        "last_updated": "2018-01-03",
        "status": "A",
        "authorized_official_last_name": "NICHOLS",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "318-376-0729"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5782381",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Vidalia, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2018; 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.