NPIMap

Organization Active NPI

Martin Family Support Services

  • Community Based Hospice Care Agency
  • Plain Dealing, LA
National Provider Identifier
1851547566
Registry record updated Jan 7, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
License
20086 Issued in LA
Legal business name
MARTIN FAMILY SUPPORT SERVICES
Doing business as
Martin Family Support Services
Practice address
248 Blankenship Road
Plain Dealing, LA 71064
Phone
(318) 326-4623
NPI assigned
Aug 13, 2008
Last updated
Jan 7, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2009

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

Authorized official

Name
Mrs. Maple Lee Martin
Title
Program Manager/Owner
Phone
(318) 326-4623

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 15079 LA
Community Based Hospice Care Agency 251G00000X 20086 LA Primary
Personal Care Attendant 3747P1801X NU
PACE Provider Organization 251T00000X 15079 LA

Addresses

Primary practice location

248 Blankenship Road
Plain Dealing, LA 71064

Mailing address

P.O. Box 515
248 Blankenship Road
Plain Dealing, LA 71064
Phone (318) 326-4623

Other identifiers 3

IdentifierTypeStateIssuer
0007764MedicaidLA
15079OtherLACHILDREN'S CHOICE
0007762MedicaidLA

Other names 1

  • Martin Family Support Services Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Martin Family Support Services4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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": "1218585600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1231286400000",
    "number": "1851547566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 515",
            "address_2": "248 BLANKENSHIP ROAD",
            "city": "PLAIN DEALING",
            "state": "LA",
            "postal_code": "71064",
            "telephone_number": "318-326-4623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "248 BLANKENSHIP ROAD",
            "city": "PLAIN DEALING",
            "state": "LA",
            "postal_code": "71064",
            "telephone_number": "318-326-4623"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARTIN FAMILY SUPPORT SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-13",
        "last_updated": "2009-01-07",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "MAPLE",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "PROGRAM MANAGER/OWNER",
        "authorized_official_telephone_number": "318-326-4623",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "LA",
            "license": "15079",
            "primary": false
        },
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "LA",
            "license": "20086",
            "primary": true
        },
        {
            "code": "3747P1801X",
            "taxonomy_group": "",
            "desc": "Technician, Personal Care Attendant",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251T00000X",
            "taxonomy_group": "",
            "desc": "Program of All-Inclusive Care for the Elderly (PACE) Provider Organization",
            "state": "LA",
            "license": "15079",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0007764",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHILDREN'S CHOICE",
            "identifier": "15079",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0007762",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Martin Family Support Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Plain Dealing, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2009; 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.