NPIMap

Organization Active NPI

Immaculate Heart of Mary-PCS, LLC

  • Personal Care Attendant
  • Morganza, LA
National Provider Identifier
1891993499
Registry record updated Jun 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Personal Care AttendantTaxonomy code 3747P1801X
License
PCA 7252 Issued in LA
Legal business name
IMMACULATE HEART OF MARY-PCS, LLC
Practice address
241 N la 1
Morganza, LA 70759-3457
Phone
(225) 694-3312
Fax
(225) 694-0337
NPI assigned
Jul 5, 2007
Last updated
Jun 17, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2008

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

Authorized official

Name
Bennett Morain
Title
Owner
Phone
(225) 694-3312

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Personal Care Attendant 3747P1801X PCA 7252 LA Primary

Addresses

Primary practice location

241 N la 1
Morganza, LA 70759-3457

Mailing address

PO Box 505
Morganza, LA 70759-0505
Phone (225) 694-3312

Other identifiers 1

IdentifierTypeStateIssuer
1011240MedicaidLA

National Provider Directory

National Provider Directory
Tax ID family
Immaculate Heart of Mary-PCS LLC4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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": "1183593600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213660800000",
    "number": "1891993499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 505",
            "city": "MORGANZA",
            "state": "LA",
            "postal_code": "707590505",
            "telephone_number": "225-694-3312",
            "fax_number": "225-694-0337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "241 N LA 1",
            "city": "MORGANZA",
            "state": "LA",
            "postal_code": "707593457",
            "telephone_number": "225-694-3312",
            "fax_number": "225-694-0337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMMACULATE HEART OF MARY-PCS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-05",
        "last_updated": "2008-06-17",
        "status": "A",
        "authorized_official_last_name": "MORAIN",
        "authorized_official_first_name": "BENNETT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "225-694-3312"
    },
    "taxonomies": [
        {
            "code": "3747P1801X",
            "taxonomy_group": "",
            "desc": "Technician, Personal Care Attendant",
            "state": "LA",
            "license": "PCA 7252",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1011240",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Morganza, LA

Sources for this page

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