NPIMap

Organization Active NPI

Superior Brocage Holdings LLC

  • Environmental Modification Occupational Therapist
  • Baton Rouge, LA
National Provider Identifier
1821416256
Registry record updated Apr 2, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Environmental Modification Occupational TherapistTaxonomy code 225XE0001X
Legal business name
SUPERIOR BROCAGE HOLDINGS LLC
Practice address
7843 Baja Dr
Baton Rouge, LA 70811-7735
Phone
(225) 328-9051
NPI assigned
Apr 2, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2014

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

Authorized official

Name
Jerquan Brown
Title
Owner
Phone
(225) 328-9051

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Environmental Modification Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225XE0001X Primary

Addresses

Primary practice location

7843 Baja Dr
Baton Rouge, LA 70811-7735

Mailing address

7843 Baja Dr
Baton Rouge, LA 70811-7735
Phone (225) 328-9051

Other names 1

  • supeerior brocage home contractor Other name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1396396800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1396396800000",
    "number": "1821416256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7843 BAJA DR",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708117735",
            "telephone_number": "225-328-9051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7843 BAJA DR",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708117735",
            "telephone_number": "225-328-9051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPERIOR BROCAGE HOLDINGS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-02",
        "last_updated": "2014-04-02",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "JERQUAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "225-328-9051"
    },
    "taxonomies": [
        {
            "code": "225XE0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist, Environmental Modification",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "supeerior brocage home contractor",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Apr 2, 2014; 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.