NPIMap

Organization Active NPI

Michelle L Wall, LLC

Doing business as ABC Case Management

  • Case Management Agency
  • Denham Springs, LA
National Provider Identifier
1801303342
Registry record updated Jan 5, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
License
2203783006 Issued in LA
Legal business name
MICHELLE L WALL, LLC
Doing business as
ABC Case Management
Practice address
682 Centerville St NE
Denham Springs, LA 70726-3512
Phone
(225) 665-7826
Fax
(225) 665-7826
NPI assigned
Jan 5, 2018
Last updated
Jan 5, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2018

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

Authorized official

Name
Rhonda Wall, MHS, LRC
Title
Owner
Phone
(225) 667-4014

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X 2203783006 LA Primary

Addresses

Primary practice location

682 Centerville St NE
Denham Springs, LA 70726-3512

Mailing address

PO Box 1284
Denham Springs, LA 70727-1284

Other identifiers 1

IdentifierTypeStateIssuer
2203783006MedicaidLA

Other names 1

  • ABC Case Management Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Abc Case Management14 organizations share this tax ID, including this one

Other organizations with this tax ID 13

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

View all 13

Locations

682 Centerville St NE
Denham Springs, LA 70726
Phone (225) 665-7826

NPI Registry JSON

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

{
    "created_epoch": "1515110400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1515110400000",
    "number": "1801303342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1284",
            "city": "DENHAM SPRINGS",
            "state": "LA",
            "postal_code": "707271284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "682 CENTERVILLE ST NE",
            "city": "DENHAM SPRINGS",
            "state": "LA",
            "postal_code": "707263512",
            "telephone_number": "225-665-7826",
            "fax_number": "225-665-7826"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHELLE L WALL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-05",
        "last_updated": "2018-01-05",
        "status": "A",
        "authorized_official_last_name": "WALL",
        "authorized_official_first_name": "RHONDA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "225-667-4014",
        "authorized_official_credential": "MHS, LRC"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "LA",
            "license": "2203783006",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2203783006",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ABC Case Management",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Denham Springs, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 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.