Organization Active NPI

Life Time Personal Care Service

  • Chore Provider
  • New Orleans, LA
National Provider Identifier
1811200595
Registry record updated Jul 22, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Chore ProviderTaxonomy code 372500000X
License
11694 Issued in LA
Legal business name
LIFE TIME PERSONAL CARE SERVICE
Practice address
1010 Common St
Suite 2660
New Orleans, LA 70112-2401
Phone
(504) 962-3101
Fax
(504) 962-3102
NPI assigned
Jul 22, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2010

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

Authorized official

Name
Mrs. Sandra Delaine Thrash
Title
Administrator
Phone
(504) 962-3101

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chore ProviderGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 372500000X 11694 LA Primary
Attendant Care ProviderGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 3747A0650X 11694 LA

Addresses

Primary practice location

1010 Common St
Suite 2660
New Orleans, LA 70112-2401

Mailing address

1010 Common St
Suite 2660
New Orleans, LA 70112-2401
Phone (504) 962-3101

Other identifiers 2

IdentifierTypeStateIssuer
1887714MedicaidLA
1887552MedicaidLA

National Provider Directory

National Provider Directory
Tax ID family
Life Time Personal Care Service3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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": "1279756800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1279756800000",
    "number": "1811200595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 COMMON ST",
            "address_2": "SUITE 2660",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701122401",
            "telephone_number": "504-962-3101",
            "fax_number": "504-962-3102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 COMMON ST",
            "address_2": "SUITE 2660",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701122401",
            "telephone_number": "504-962-3101",
            "fax_number": "504-962-3102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE TIME PERSONAL CARE SERVICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-22",
        "last_updated": "2010-07-22",
        "status": "A",
        "authorized_official_last_name": "THRASH",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_middle_name": "DELAINE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "504-962-3101",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "372500000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chore Provider",
            "state": "LA",
            "license": "11694",
            "primary": true
        },
        {
            "code": "3747A0650X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Technician, Attendant Care Provider",
            "state": "LA",
            "license": "11694",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1887714",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1887552",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Orleans, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2010; 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.