Grace Outreach Center

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

453 Issued in LA

Legal business name

GRACE OUTREACH CENTER

Practice address

2533 Lasalle St
New Orleans, LA 70113-2531

Phone

(504) 913-5452

Fax

(504) 367-6601

NPI assigned

Aug 17, 2010

Organization subpart

No

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

Authorized official

Name

Larry Noah

Title

Pastor/Director

Phone

(504) 913-5452

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Grace Outreach Center3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

• Grace Outreach Center

  • Community/Behavioral Health Agency
  • New Orleans, LA
  • NPI 1104083187
  NPD tax ID
• Grace Outreach Center

  • Substance Use Disorder Rehabilitation Clinic/Center
  • New Orleans, LA
  • NPI 1578791836
  NPD tax ID

Locations

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

{
    "created_epoch": "1282003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1282003200000",
    "number": "1891000667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2533 LASALLE ST",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701132531",
            "telephone_number": "504-913-5452",
            "fax_number": "504-367-6601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2533 LASALLE ST",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701132531",
            "telephone_number": "504-913-5452",
            "fax_number": "504-367-6601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACE OUTREACH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-17",
        "last_updated": "2010-08-17",
        "status": "A",
        "authorized_official_last_name": "NOAH",
        "authorized_official_first_name": "LARRY",
        "authorized_official_title_or_position": "PASTOR/DIRECTOR",
        "authorized_official_telephone_number": "504-913-5452"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "LA",
            "license": "453",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0000000",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Grace & Grace Adult Living Center LLC
• Grace Behavioral Interventions,LLC
• Grace Medical LLC
• Grace Outreach Center
• Grace Outreach Center
• Nicole Grace-Franklin
• Breunica Keshawn Grace, DPT
• Delaine Grace
• Graceful Traveling LLC
• Grade a Non Emergency Medical Transportation

• Community/Behavioral Health Agency in New Orleans, LA
• Providers in New Orleans, LA by specialty
• Community/Behavioral Health Agency in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2010; 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.