NPIMap

Organization Active NPI

Genesis Youth and Family Services of la, LLC

  • Community/Behavioral Health Agency
  • Baton Rouge, LA
National Provider Identifier
1871890871
Registry record updated Feb 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
GENESIS YOUTH AND FAMILY SERVICES OF LA, LLC
Practice address
5700 Florida Blvd
Suite 412
Baton Rouge, LA 70806-4274
Phone
(225) 932-0200
Fax
(225) 932-0201
NPI assigned
Feb 28, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2011

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

Authorized official

Name
Teresa Jackson
Title
Owner
Phone
(704) 253-3752

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X LA Primary

Addresses

Primary practice location

5700 Florida Blvd
Suite 412
Baton Rouge, LA 70806-4274

Mailing address

PO Box 42915
Charlotte, NC 28215-0017
Phone (225) 932-0200

National Provider Directory

National Provider Directory

Locations

5700 Florida Blvd
Ste 412
Baton Rouge, LA 70806
Phone (225) 932-0200

NPI Registry JSON

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

{
    "created_epoch": "1298851200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1298851200000",
    "number": "1871890871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 42915",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282150017",
            "telephone_number": "225-932-0200",
            "fax_number": "225-932-0201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5700 FLORIDA BLVD",
            "address_2": "SUITE 412",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708064274",
            "telephone_number": "225-932-0200",
            "fax_number": "225-932-0201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENESIS YOUTH AND FAMILY SERVICES OF LA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-28",
        "last_updated": "2011-02-28",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "TERESA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "704-253-3752"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "LA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baton Rouge, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2011; 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.