NPIMap

Organization Active NPI

Home Health Professional

  • Home Health Agency
  • Denham Springs, LA
National Provider Identifier
1861678021
Registry record updated Jan 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
625 Issued in LA
Legal business name
HOME HEALTH PROFESSIONAL
Practice address
2550 Florida Blvd SW
Denham Springs, LA 70726-4951
Phone
(225) 667-2792
NPI assigned
Jan 17, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2008

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

Authorized official

Name
Jody Williams
Title
Ceo
Phone
(225) 667-2792

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 625 LA Primary

Addresses

Primary practice location

2550 Florida Blvd SW
Denham Springs, LA 70726-4951

Mailing address

722 S Range Ave
Denham Springs, LA 70726-4401
Phone (225) 667-7279

Other identifiers 1

IdentifierTypeStateIssuer
1405337MedicaidLA

National Provider Directory

National Provider Directory

Locations

722 S Range Ave
Denham Springs, LA 70726

2550 Florida Blvd SW
Denham Springs, LA 70726
Phone (225) 667-2792

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1200528000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200528000000",
    "number": "1861678021",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "722 S RANGE AVE",
            "city": "DENHAM SPRINGS",
            "state": "LA",
            "postal_code": "707264401",
            "telephone_number": "225-667-7279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2550 FLORIDA BLVD SW",
            "city": "DENHAM SPRINGS",
            "state": "LA",
            "postal_code": "707264951",
            "telephone_number": "225-667-2792"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOME HEALTH PROFESSIONAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-17",
        "last_updated": "2008-01-17",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "JODY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "225-667-2792"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "LA",
            "license": "625",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1405337",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Denham Springs, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2008; 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.