NPIMap

Organization Active NPI

Port City Enterprises, Inc.

  • Child Intellectual and/or Developmental Disabilities Respite Care
  • Port Allen, LA
National Provider Identifier
1881814150
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child Intellectual and/or Developmental Disabilities Respite CareTaxonomy code 385HR2060X
License
ADC 2263 Issued in LA
Legal business name
PORT CITY ENTERPRISES, INC.
Practice address
836 N 7TH St
Port Allen, LA 70767
Phone
(225) 344-1142
Fax
(225) 344-1192
NPI assigned
Apr 27, 2007
Last updated
Aug 22, 2020By the provider in NPPES
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
Christine C. Dunlevy
Title
Executive Director
Phone
(225) 344-1142

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Child Intellectual and/or Developmental Disabilities Respite Care 385HR2060X ADC 2263 LA Primary
Child Intellectual and/or Developmental Disabilities Respite Care 385HR2060X PCA 4624 LA
Child Intellectual and/or Developmental Disabilities Respite Care 385HR2060X RC 6081 LA
Child Intellectual and/or Developmental Disabilities Respite Care 385HR2060X SIL 4589 LA

Addresses

Primary practice location

836 N 7TH St
Port Allen, LA 70767

Mailing address

836 North 7TH St
Port Allen, LA 70767
Phone (225) 344-1142

Other identifiers 5

IdentifierTypeStateIssuer
1937746MedicaidLA
1686638MedicaidLA
1686646MedicaidLA
1911283MedicaidLA
1551988MedicaidLA

National Provider Directory

National Provider Directory
Tax ID family
Port City Enterprises Inc6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

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

NPI Registry JSON

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

{
    "created_epoch": "1177632000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1881814150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "836 NORTH 7TH ST",
            "city": "PORT ALLEN",
            "state": "LA",
            "postal_code": "70767",
            "telephone_number": "225-344-1142",
            "fax_number": "225-344-1192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "836 N 7TH ST",
            "city": "PORT ALLEN",
            "state": "LA",
            "postal_code": "70767",
            "telephone_number": "225-344-1142",
            "fax_number": "225-344-1192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PORT CITY ENTERPRISES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DUNLEVY",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "225-344-1142"
    },
    "taxonomies": [
        {
            "code": "385HR2060X",
            "taxonomy_group": "",
            "desc": "Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child",
            "state": "LA",
            "license": "ADC 2263",
            "primary": true
        },
        {
            "code": "385HR2060X",
            "taxonomy_group": "",
            "desc": "Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child",
            "state": "LA",
            "license": "PCA 4624",
            "primary": false
        },
        {
            "code": "385HR2060X",
            "taxonomy_group": "",
            "desc": "Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child",
            "state": "LA",
            "license": "RC 6081",
            "primary": false
        },
        {
            "code": "385HR2060X",
            "taxonomy_group": "",
            "desc": "Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child",
            "state": "LA",
            "license": "SIL 4589",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1937746",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1686638",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1686646",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1911283",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1551988",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Allen, 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.