Ja'Juan Allen

Primary specialty

Home Modifications ContractorTaxonomy code 171WH0202X

License

558499 Issued in LA

Practice address

42573 Pleasant Ridge Road Ext
Ponchatoula, LA 70454-4764

Phone

(318) 415-8872

NPI assigned

Dec 13, 2016

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• J. Allen Investment LLC

  • In Home Supportive Care Agency
  • Ponchatoula, LA
  • NPI 1922384312
  NPD (past) Authorized official
• J. Allen Investments LLC.

  • Home Modifications Contractor
  • Ponchatoula, LA
  • NPI 1386189652

  Home Modifications

  NPD (past) Authorized official

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

{
    "created_epoch": "1481587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1481587200000",
    "number": "1891239604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "137 PENN MILL LAKES BLVD",
            "city": "COVINGTON",
            "state": "LA",
            "postal_code": "704350574",
            "telephone_number": "318-415-8872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42573 PLEASANT RIDGE ROAD EXT",
            "city": "PONCHATOULA",
            "state": "LA",
            "postal_code": "704544764",
            "telephone_number": "318-415-8872"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALLEN",
        "first_name": "JA'JUAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-12-13",
        "last_updated": "2016-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171WH0202X",
            "taxonomy_group": "",
            "desc": "Contractor, Home Modifications",
            "state": "LA",
            "license": "558499",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• A-1 Always at Your Side,LLC
• Agape Home Medical LLC
• Terry Collins Ainsworth, LCSW
• David Presley Allen, D.P.M
• Gregory John Allen, M.D.
• Allen'S Family Practice Clinic of Ponchatoula, L.L.P.
• Gabrielle Alyssa Anderson
• Archway Apothecary LLC
• Lauren A Arteaga, FNP
• Asap Medivans, LLC

• All providers in Ponchatoula, LA
• Home Modifications Contractor in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 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.