NPIMap

Organization Active NPI

Booker T Community Outreach Project

Doing business as The John Breaux Assisted Living Center

  • Psychiatric Hospital
  • Monroe, LA
National Provider Identifier
1821318221
Registry record updated Jun 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric HospitalTaxonomy code 283Q00000X
Legal business name
BOOKER T COMMUNITY OUTREACH PROJECT
Doing business as
The John Breaux Assisted Living Center
Practice address
1411 Sherrouse Street
Monroe, LA 71203
Phone
(318) 489-5300
Fax
(318) 934-0097
NPI assigned
Jun 8, 2010
Last updated
Jun 8, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2010

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

Authorized official

Name
Ms. Sharon Denise Collier
Title
Director of Operations
Phone
(318) 489-5300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Hospital 283Q00000X NU Primary

Addresses

Primary practice location

1411 Sherrouse Street
Monroe, LA 71203

Mailing address

1411 Sherrouse St
Monroe, LA 71203-5435
Phone (318) 489-5900

Other names 1

  • THE JOHN BREAUX ASSISTED LIVING CENTER Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Booker T Community Outreach Inc3 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": "1275955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1275955200000",
    "number": "1821318221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1411 SHERROUSE ST",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712035435",
            "telephone_number": "318-489-5900",
            "fax_number": "318-934-0097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1411 SHERROUSE STREET",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "71203",
            "telephone_number": "318-489-5300",
            "fax_number": "318-934-0097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOOKER T COMMUNITY OUTREACH PROJECT",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-08",
        "last_updated": "2010-06-08",
        "status": "A",
        "authorized_official_last_name": "COLLIER",
        "authorized_official_first_name": "SHARON",
        "authorized_official_middle_name": "DENISE",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "318-489-5300",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "283Q00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Hospital",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "THE JOHN BREAUX ASSISTED LIVING CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Monroe, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 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.