NPIMap

Organization Active NPI

Eternal Crisis Outreach

  • Community/Behavioral Health Agency
  • Baton Rouge, LA
National Provider Identifier
1811225527
Registry record updated Mar 3, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
ETERNAL CRISIS OUTREACH
Practice address
5759 Wright Dr
Baton Rouge, LA 70812-2355
Phone
(225) 326-9166
Fax
(225) 354-8334
NPI assigned
Nov 19, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2017

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

Authorized official

Name
Mrs. Renetta A Bell, LACNPI 1720316797
Title
Executive Director
Phone
(225) 326-9166

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X CM 27018 LA
Community/Behavioral Health Agency 251S00000X LA Primary

Addresses

Primary practice location

5759 Wright Dr
Baton Rouge, LA 70812-2355

Mailing address

5759 Wright Dr
Baton Rouge, LA 70812-2355
Phone (225) 387-8240

Other identifiers 3

IdentifierTypeStateIssuer
1889971MedicaidLA
1889962MedicaidLA
1889989MedicaidLA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1258588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1488499200000",
    "number": "1811225527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5759 WRIGHT DR",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708122355",
            "telephone_number": "225-387-8240",
            "fax_number": "225-387-8241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5759 WRIGHT DR",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708122355",
            "telephone_number": "225-326-9166",
            "fax_number": "225-354-8334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ETERNAL CRISIS OUTREACH",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-19",
        "last_updated": "2017-03-03",
        "status": "A",
        "authorized_official_last_name": "BELL",
        "authorized_official_first_name": "RENETTA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "225-326-9166",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LAC"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "LA",
            "license": "CM 27018",
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "LA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1889971",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1889962",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1889989",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Baton Rouge, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2017; 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.