Organization Active NPI

Parishes Supportive Living

  • Home Health Agency
  • Ponchatoula, LA
National Provider Identifier
1780862722
Registry record updated Feb 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
PARISHES SUPPORTIVE LIVING
Practice address
112 S 3Rd St
Ponchatoula, LA 70454-2602
Phone
(985) 386-0898
Fax
(985) 370-5788
NPI assigned
Feb 1, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2008

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

Authorized official

Name
Mr. Corey Vining
Title
Cfo
Phone
(985) 386-0898

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

112 S 3Rd St
Ponchatoula, LA 70454-2602

Mailing address

112 S 3Rd St
Ponchatoula, LA 70454-2602
Phone (985) 386-0898

Other identifiers 1

IdentifierTypeStateIssuer
1186775MedicaidLA

National Provider Directory

National Provider Directory
Tax ID family
Parishes Supportive Living17 organizations share this tax ID, including this one

Other organizations with this tax ID 16

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

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1201824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201824000000",
    "number": "1780862722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 S 3RD ST",
            "city": "PONCHATOULA",
            "state": "LA",
            "postal_code": "704542602",
            "telephone_number": "985-386-0898",
            "fax_number": "985-370-5788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 S 3RD ST",
            "city": "PONCHATOULA",
            "state": "LA",
            "postal_code": "704542602",
            "telephone_number": "985-386-0898",
            "fax_number": "985-370-5788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARISHES SUPPORTIVE LIVING",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-01",
        "last_updated": "2008-02-01",
        "status": "A",
        "authorized_official_last_name": "VINING",
        "authorized_official_first_name": "COREY",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "985-386-0898",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1186775",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ponchatoula, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 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.