Greater Fellowship Outreach Center, Inc.

Primary specialty

Personal Care AttendantTaxonomy code 3747P1801X

License

7934 Issued in LA

Legal business name

GREATER FELLOWSHIP OUTREACH CENTER, INC.

Practice address

11752 S Harrells Ferry Rd
Suite E
Baton Rouge, LA 70816-2387

Phone

(225) 292-9628

Fax

(225) 292-9623

NPI assigned

Apr 6, 2007

Organization subpart

No

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

Authorized official

Name

Keisha C Daisy

Title

Owner-Director

Phone

(225) 931-3571

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Greater Fellowship Outreach Center Inc5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

• Greater Fellowship Outreach Center

  • Attendant Care Provider
  • Baton Rouge, LA
  • NPI 1265563332
  NPD tax ID
• Greater Fellowship Outreach Center, Inc

  • Attendant Care Provider
  • Baton Rouge, LA
  • NPI 1316164536
  NPD tax ID
• Greater Fellowship Outreach Center, Inc.

  • Attendant Care Provider
  • Baton Rouge, LA
  • NPI 1659493716
  NPD tax ID
• Greater Fellowship Outreach Center, Inc.

  • Personal Care Attendant
  • Baton Rouge, LA
  • NPI 1740302801
  NPD tax ID

Locations

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

{
    "created_epoch": "1175817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1831211994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11752 S HARRELLS FERRY RD",
            "address_2": "SUITE E",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708162387",
            "telephone_number": "225-292-9628",
            "fax_number": "225-292-9623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11752 S HARRELLS FERRY RD",
            "address_2": "SUITE E",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708162387",
            "telephone_number": "225-292-9628",
            "fax_number": "225-292-9623"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREATER FELLOWSHIP OUTREACH CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DAISY",
        "authorized_official_first_name": "KEISHA",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER-DIRECTOR",
        "authorized_official_telephone_number": "225-931-3571"
    },
    "taxonomies": [
        {
            "code": "3747P1801X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician, Personal Care Attendant",
            "state": "LA",
            "license": "7934",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1173533",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Greater Baton Rouge Surgical Hospital, LLC
• Greater Fellowship Outreach Center
• Greater Fellowship Outreach Center, Inc
• Greater Fellowship Outreach Center, Inc.
• Greater Fellowship Outreach Center, Inc.
• Greaux & Gleaux Wellness Center
• Gregory Greely
• Alaina Green
• Ariel M Green, RSW
• Barbara W Green, M.ED.,LPC,LMFT

• Personal Care Attendant in Baton Rouge, LA
• Providers in Baton Rouge, LA by specialty
• Personal Care Attendant in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.