NPIMap

Organization Active NPI

Family Life Developmental Center

  • Developmentally Disabled Services Day Training Agency
  • Ruston, LA
National Provider Identifier
1881891950
Registry record updated May 27, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
License
7222 Issued in LA
Legal business name
FAMILY LIFE DEVELOPMENTAL CENTER
Practice address
829 E Georgia Ave Ste 5
Ruston, LA 71270-3901
Phone
(318) 255-8404
Fax
(318) 255-8417
NPI assigned
Jul 1, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 27, 2008

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

Authorized official

Name
Alphonso Bingham
Title
Administrator
Phone
(318) 255-8405

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X 7222 LA Primary

Addresses

Primary practice location

829 E Georgia Ave Ste 5
Ruston, LA 71270-3901

Mailing address

829 E Georgia Ave Ste 5
Ruston, LA 71270-3901
Phone (318) 255-8404

National Provider Directory

National Provider Directory
Tax ID family
Family Life Developmental Center7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

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": "1183248000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211846400000",
    "number": "1881891950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "829 E GEORGIA AVE STE 5",
            "city": "RUSTON",
            "state": "LA",
            "postal_code": "712703901",
            "telephone_number": "318-255-8404",
            "fax_number": "318-255-8417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "829 E GEORGIA AVE STE 5",
            "city": "RUSTON",
            "state": "LA",
            "postal_code": "712703901",
            "telephone_number": "318-255-8404",
            "fax_number": "318-255-8417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY LIFE DEVELOPMENTAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-01",
        "last_updated": "2008-05-27",
        "status": "A",
        "authorized_official_last_name": "BINGHAM",
        "authorized_official_first_name": "ALPHONSO",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "318-255-8405"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "LA",
            "license": "7222",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ruston, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 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.