Active NPI
Colette'S Nursing & Healthcare Services, LLC
- Custodial Care Facility
- Kenner, LA
National Provider Identifier
1831284686
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Custodial Care Facility
- License
- 12313
- Legal business name
- COLETTE'S NURSING & HEALTHCARE SERVICES, LLC
- Practice address
- 1117 Veterans Memorial Blvd Ste 7
Kenner, LA 70062-4104 - Phone
- (504) 305-6130
- Fax
- (504) 305-2377
- NPI assigned
- Oct 4, 2006
- 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
- Ms. Colette Bennett, LPN
- Title
- Administrator
- Phone
- (504) 305-6130
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Custodial Care Facility | 311Z00000X | 12313 | LA | Primary |
Addresses
Primary practice location
1117 Veterans Memorial Blvd Ste 7
Kenner, LA 70062-4104
Mailing address
1117 Veterans Memorial Blvd Ste 7
Kenner, LA 70062-4104
Phone (504) 305-6130
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629189 | Medicaid | LA |
National Provider Directory
National Provider Directory- Tax ID family
- Colette'S Nursing Healthcare
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Nursing Facility/Intermediate Care Facility
- Kenner, LA
- NPI 1114123510
Locations
1117 Veterans Memorial Blvd
Ste 7
Kenner, LA 70062
Phone (504) 305-6130
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159920000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1831284686",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1117 VETERANS MEMORIAL BLVD STE 7",
"city": "KENNER",
"state": "LA",
"postal_code": "700624104",
"telephone_number": "504-305-6130",
"fax_number": "504-305-2377"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1117 VETERANS MEMORIAL BLVD STE 7",
"city": "KENNER",
"state": "LA",
"postal_code": "700624104",
"telephone_number": "504-305-6130",
"fax_number": "504-305-2377"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COLETTE'S NURSING & HEALTHCARE SERVICES, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-04",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "BENNETT",
"authorized_official_first_name": "COLETTE",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "504-305-6130",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "LPN"
},
"taxonomies": [
{
"code": "311Z00000X",
"taxonomy_group": "",
"desc": "Custodial Care Facility",
"state": "LA",
"license": "12313",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1629189",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Kenner, LA
Sources for this page
- 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.