Organization Active NPI

Manifested Hope, LLC

  • Community/Behavioral Health Agency
  • Baton Rouge, LA
National Provider Identifier
1780951848
Registry record updated Nov 17, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
MANIFESTED HOPE, LLC
Practice address
2127 Beaumont Dr
Baton Rouge, LA 70806-1449
Phone
(225) 303-4688
NPI assigned
Nov 17, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2011

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

Authorized official

Name
Sharon Mallard
Title
Ceo
Phone
(225) 303-4688

Specialties & licenses 1

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

Addresses

Primary practice location

2127 Beaumont Dr
Baton Rouge, LA 70806-1449

Mailing address

2127 Beaumont Dr
Baton Rouge, LA 70806-1449
Phone (225) 303-4688

National Provider Directory

National Provider Directory

Locations

2127 Beaumont Dr
Baton Rouge, LA 70806
Phone (225) 248-8801

NPI Registry JSON

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

{
    "created_epoch": "1321488000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1321488000000",
    "number": "1780951848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2127 BEAUMONT DR",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708061449",
            "telephone_number": "225-303-4688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2127 BEAUMONT DR",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708061449",
            "telephone_number": "225-303-4688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANIFESTED HOPE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-17",
        "last_updated": "2011-11-17",
        "status": "A",
        "authorized_official_last_name": "MALLARD",
        "authorized_official_first_name": "SHARON",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "225-303-4688"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baton Rouge, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2011; 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.