Active NPI
Valencia Fuller Magee
- In Home Supportive Care Agency
- Gonzales, LA
National Provider Identifier
1902090137
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- License
- 7156
- Practice address
- 306 E Railroad St
Gonzales, LA 70737-2942 - Phone
- (225) 647-0580
- Fax
- (225) 647-0581
- NPI assigned
- Aug 30, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| In Home Supportive Care Agency | 253Z00000X | 7156 | LA | Primary |
Addresses
Primary practice location
306 E Railroad St
Gonzales, LA 70737-2942
Mailing address
306 E Railroad St
Gonzales, LA 70737-2942
Phone (225) 647-0580
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1188432000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1656547200000",
"number": "1902090137",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "306 E RAILROAD ST",
"city": "GONZALES",
"state": "LA",
"postal_code": "707372942",
"telephone_number": "225-647-0580",
"fax_number": "225-647-0580"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "306 E RAILROAD ST",
"city": "GONZALES",
"state": "LA",
"postal_code": "707372942",
"telephone_number": "225-647-0580",
"fax_number": "225-647-0581"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAGEE",
"first_name": "VALENCIA",
"middle_name": "FULLER",
"name_prefix": "Mrs.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-08-30",
"last_updated": "2022-06-30",
"certification_date": "2022-06-30",
"status": "A"
},
"taxonomies": [
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": "LA",
"license": "7156",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Gonzales, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.