Active NPI
MQVN Community Development Corporation
Doing business as NOELA Community Health Center
- Federally Qualified Health Center (FQHC)
- New Orleans, LA
National Provider Identifier
1811220551
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Federally Qualified Health Center (FQHC)
- Legal business name
- MQVN COMMUNITY DEVELOPMENT CORPORATION
- Doing business as
- NOELA Community Health Center
- Practice address
- 13085 Chef Menteur Hwy
New Orleans, LA 70129-1804 - Phone
- (504) 255-8665
- Fax
- (504) 255-8665
- NPI assigned
- Sep 14, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jace Cacioppo
- Title
- Compliance and Credentialing Office
- Phone
- (504) 249-5834
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | |||
| Internal Medicine Physician | 207R00000X | |||
| Pediatrics Physician | 208000000X | |||
| Federally Qualified Health Center (FQHC) | 261QF0400X | Primary |
Addresses
Primary practice location
13085 Chef Menteur Hwy
New Orleans, LA 70129-1804
Mailing address
4626 Alcee Fortier Blvd
New Orleans, LA 70129-2130
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 193200000X | Other | MULTISPECIALITY GROUP PRACTICE |
Other names 1
- NOELA Community Health Center
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100312000623 | LA | Part B Supplier - Clinic/Group Practice | 4486789682 |
Receives reassigned benefits from 5 practitioners 2 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: New Orleans, LA |
Other NPIs on the same Medicare enrollment 2
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
dba NOELA Community Health Center
- Federally Qualified Health Center (FQHC)
- New Orleans, LA
- NPI 1679875744
O20100312000623
-
dba NOELA Wellness Center
- Physical Medicine & Rehabilitation Physician
- New Orleans, LA
- NPI 1699320382
O20100312000623
National Provider Directory
National Provider DirectoryLocations
4626 Alcee Fortier Blvd
New Orleans, LA 70129
Phone (504) 254-8989
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1252886400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1746662400000",
"number": "1811220551",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4626 ALCEE FORTIER BLVD",
"city": "NEW ORLEANS",
"state": "LA",
"postal_code": "701292130"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13085 CHEF MENTEUR HWY",
"city": "NEW ORLEANS",
"state": "LA",
"postal_code": "701291804",
"telephone_number": "504-255-8665",
"fax_number": "504-255-8665"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MQVN COMMUNITY DEVELOPMENT CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2009-09-14",
"last_updated": "2025-05-08",
"certification_date": "2025-05-08",
"status": "A",
"authorized_official_last_name": "CACIOPPO",
"authorized_official_first_name": "JACE",
"authorized_official_title_or_position": "COMPLIANCE AND CREDENTIALING OFFICE",
"authorized_official_telephone_number": "504-249-5834"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pediatrics",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QF0400X",
"taxonomy_group": "",
"desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MULTISPECIALITY GROUP PRACTICE",
"identifier": "193200000X",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "NOELA Community Health Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in New Orleans, LA
- MP Medical Partners LLC
- MQVN Community Development Corporation (Noela Community Health Center)
- MQVN Community Development Corporation (New Orleans East Louisiana Community Health Center - Pediatrics)
- MQVN Community Development Corporation (NOELA Community Health Center)
- MQVN Community Development Corporation (NOELA Wellness Center)
- Stephanie Nicole Mrowczynski, MD
- Msceo Transportation
- Ahmad I Mubarak, MD
- Ryan Douglas Muchard, DO
- Alexis Yankowski Mueller, L.P.C.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.