Kingsley House Inc

Primary specialty

Adult Day Care Clinic/CenterTaxonomy code 261QA0600X

License

0002525 Issued in LA

Legal business name

KINGSLEY HOUSE INC

Practice address

1600 Constance Street
New Orleans, LA 70130-4641

Phone

(504) 523-6221

Fax

(504) 523-4450

NPI assigned

May 11, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Keith Liederman, PHD

Title

Executive Director

Phone

(504) 523-6221

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Kingsley House Inc2 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.

• Kingsley House, Inc

  • Community/Behavioral Health Agency
  • New Orleans, LA
  • NPI 1194055665
  NPD tax ID

Practitioners 1

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

• Meredith Vizzini, PLPC

  • Mental Health Counselor
  • New Orleans, LA
  • NPI 1366813750
  NPD (past)

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

{
    "created_epoch": "1178841600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1801001904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 CONSTANCE STREET",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701304641",
            "telephone_number": "504-523-6221",
            "fax_number": "504-523-4450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 CONSTANCE STREET",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701304641",
            "telephone_number": "504-523-6221",
            "fax_number": "504-523-4450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KINGSLEY HOUSE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LIEDERMAN",
        "authorized_official_first_name": "KEITH",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "504-523-6221",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "LA",
            "license": "0002525",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1317306",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rose Mary King
• Samantha King, LCSW-BACS
• Sherita King, LMSW
• Traci Jo King, MD
• Travis King
• Kingsley House, Inc
• Kelli Elizabeth Kingston, MSW
• Abraham Kinkopf
• Amber D Kinler, OTR/L
• Jed D Kinnick, M.D.

• Adult Day Care Clinic/Center in New Orleans, LA
• Providers in New Orleans, LA by specialty
• Adult Day Care Clinic/Center in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.