Organization Active NPI

Quality Independent Service Coordinators of Louisiana

  • Case Management Agency
  • Covington, LA
National Provider Identifier
1861693020
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
License
2337 Issued in LA
Legal business name
QUALITY INDEPENDENT SERVICE COORDINATORS OF LOUISIANA
Practice address
19226 N 5TH St
Covington, LA 70433-9017
Phone
(985) 809-0400
Fax
(985) 809-0455
NPI assigned
May 29, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Janet T Connell
Title
Executive Director
Phone
(504) 858-9370

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X 2337 LA Primary

Addresses

Primary practice location

19226 N 5TH St
Covington, LA 70433-9017

Mailing address

19226 N 5TH St
Covington, LA 70433-9017
Phone (985) 809-0400

Other identifiers 1

IdentifierTypeStateIssuer
1547191MedicaidLA

National Provider Directory

National Provider Directory
Tax ID family
Quality Independent Service Coordinators2 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.

Locations

19226 N 5th St
Covington, LA 70433
Phone (985) 809-0400

NPI Registry JSON

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

{
    "created_epoch": "1180396800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1861693020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19226 N 5TH ST",
            "city": "COVINGTON",
            "state": "LA",
            "postal_code": "704339017",
            "telephone_number": "985-809-0400",
            "fax_number": "985-809-0455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19226 N 5TH ST",
            "city": "COVINGTON",
            "state": "LA",
            "postal_code": "704339017",
            "telephone_number": "985-809-0400",
            "fax_number": "985-809-0455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUALITY INDEPENDENT SERVICE COORDINATORS OF LOUISIANA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CONNELL",
        "authorized_official_first_name": "JANET",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "504-858-9370",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "LA",
            "license": "2337",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1547191",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Covington, 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.

Verify at the official NPI Registry.