Organization Active NPI

Directions of Louisiana, Inc

  • Case Manager/Care Coordinator
  • Pineville, LA
National Provider Identifier
1881058758
Registry record updated Apr 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
License
CM2052 Issued in LA
Legal business name
DIRECTIONS OF LOUISIANA, INC
Practice address
5427 Shreveport Hwy
Pineville, LA 71360-3531
Phone
(318) 640-4340
Fax
(318) 640-4160
NPI assigned
Apr 7, 2016
Last updated
Apr 7, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2016

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

Authorized official

Name
Mr. Gary J Ortego
Title
Administrator
Phone
(318) 640-4340

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X CM2052 LA Primary

Addresses

Primary practice location

5427 Shreveport Hwy
Pineville, LA 71360-3531

Mailing address

5427 Shreveport Hwy
Pineville, LA 71360-3531
Phone (318) 640-4340

Other identifiers 1

IdentifierTypeStateIssuer
1698253MedicaidLA

National Provider Directory

National Provider Directory
Tax ID family
Directions of Louisiana Inc2 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

5427 Shreveport Hwy
Pineville, LA 71360
Phone (318) 640-4340

NPI Registry JSON

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

{
    "created_epoch": "1459987200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1459987200000",
    "number": "1881058758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5427 SHREVEPORT HWY",
            "city": "PINEVILLE",
            "state": "LA",
            "postal_code": "713603531",
            "telephone_number": "318-640-4340",
            "fax_number": "318-640-4160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5427 SHREVEPORT HWY",
            "city": "PINEVILLE",
            "state": "LA",
            "postal_code": "713603531",
            "telephone_number": "318-640-4340",
            "fax_number": "318-640-4160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIRECTIONS OF LOUISIANA, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-07",
        "last_updated": "2016-04-07",
        "status": "A",
        "authorized_official_last_name": "ORTEGO",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "318-640-4340",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "LA",
            "license": "CM2052",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1698253",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pineville, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2016; 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.