NPIMap

Organization Active NPI

Holistic Educational Rehab Center

  • Point of Service
  • Terrytown, LA
National Provider Identifier
1790902948
Registry record updated Feb 9, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Point of ServiceTaxonomy code 305S00000X
License
12455 Issued in LA
Legal business name
HOLISTIC EDUCATIONAL REHAB CENTER
Practice address
1799 Stumpf Blvd
BLDG 7 Ste 7
Terrytown, LA 70056-3950
Phone
(504) 915-6596
NPI assigned
Apr 19, 2007
Last updated
Feb 9, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2009

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

Authorized official

Name
Ms. Lashun Doyle Campbell
Title
Manager
Phone
(504) 915-6596

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Point of Service 305S00000X 12455 LA Primary

Addresses

Primary practice location

1799 Stumpf Blvd
BLDG 7 Ste 7
Terrytown, LA 70056-3950

Mailing address

1799 Stumpf Blvd
BLDG 7 Ste 7
Terrytown, LA 70056-3950

Other identifiers 1

IdentifierTypeStateIssuer
1194883MedicaidLA

National Provider Directory

National Provider Directory
Tax ID family
Holistic Educational Rehab Center6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

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": "1176940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1234137600000",
    "number": "1790902948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1799 STUMPF BLVD",
            "address_2": "BLDG 7 STE 7",
            "city": "TERRYTOWN",
            "state": "LA",
            "postal_code": "700563950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1799 STUMPF BLVD",
            "address_2": "BLDG 7 STE 7",
            "city": "TERRYTOWN",
            "state": "LA",
            "postal_code": "700563950",
            "telephone_number": "504-915-6596"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLISTIC EDUCATIONAL REHAB CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-19",
        "last_updated": "2009-02-09",
        "status": "A",
        "authorized_official_last_name": "CAMPBELL",
        "authorized_official_first_name": "LASHUN",
        "authorized_official_middle_name": "DOYLE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "15049156596",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": "LA",
            "license": "12455",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1194883",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Terrytown, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2009; 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.