Memorial Home and Community Based Waiver

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

License

PCA 14033 Issued in LA

Legal business name

MEMORIAL HOME AND COMMUNITY BASED WAIVER

Practice address

5640 Read Blvd
New Orleans, LA 70127-3140

Phone

(504) 243-1018

Fax

(504) 243-1066

NPI assigned

Feb 12, 2008

Organization subpart

No

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

Authorized official

Name

Mark Allen Morad

Title

Ceo

Phone

(504) 243-1018

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Memorial Home and Community Based Waiver2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Memorial Home and Community Based Waiver

  • Case Management Agency
  • New Orleans, LA
  • NPI 1831388222
  NPD tax ID

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

{
    "created_epoch": "1202774400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1281052800000",
    "number": "1851569941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5610",
            "city": "SLIDELL",
            "state": "LA",
            "postal_code": "704695610",
            "telephone_number": "504-243-1018",
            "fax_number": "504-243-1066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5640 READ BLVD",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701273140",
            "telephone_number": "504-243-1018",
            "fax_number": "504-243-1066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEMORIAL HOME AND COMMUNITY BASED WAIVER",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-12",
        "last_updated": "2010-08-06",
        "status": "A",
        "authorized_official_last_name": "MORAD",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "504-243-1018"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "LA",
            "license": "PCA 14033",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "APPLIED FOR",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Meagan Mello
• Ashley C Melton, RD
• Alex Melville
• Iqbal Ahmad Memon, M.D
• Memorial Home and Community Based Waiver
• Memorial Home Health Care Inc.
• Memorial Hospice and Palliative Care of New Orleans, LLC
• Margaret Grace Mena
• Amanda Menard, PA-C
• Bethany Leigh Menard, MD

• Case Management Agency in New Orleans, LA
• Providers in New Orleans, LA by specialty
• Case Management Agency in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 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.