Organization Active NPI

Rosemore Garner Jr

  • Community/Behavioral Health Agency
  • Zachary, LA
National Provider Identifier
1902263080
Registry record updated Jan 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
ROSEMORE GARNER JR
Practice address
6201 Summerlin Dr
Zachary, LA 70791-2672
Phone
(225) 315-9905
NPI assigned
Jan 20, 2016
Last updated
Jan 20, 2016By the provider in NPPES
Organization subpart
Yes
Parent organization
YESAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 20, 2016

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

Authorized official

Name
Mr. Rosemore Garner Jr.
Title
MHS
Phone
(225) 315-9905

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X NU Primary

Addresses

Primary practice location

6201 Summerlin Dr
Zachary, LA 70791-2672

Mailing address

6201 Summerlin Dr
Zachary, LA 70791-2672
Phone (225) 315-9905

Other identifiers 1

IdentifierTypeStateIssuer
1159204MedicaidLA

National Provider Directory

National Provider Directory
Tax ID family
Beta Community Services7 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.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1453248000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1453248000000",
    "number": "1902263080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6201 SUMMERLIN DR",
            "city": "ZACHARY",
            "state": "LA",
            "postal_code": "707912672",
            "telephone_number": "225-315-9905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6201 SUMMERLIN DR",
            "city": "ZACHARY",
            "state": "LA",
            "postal_code": "707912672",
            "telephone_number": "225-315-9905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROSEMORE GARNER JR",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "YES",
        "enumeration_date": "2016-01-20",
        "last_updated": "2016-01-20",
        "status": "A",
        "authorized_official_last_name": "GARNER",
        "authorized_official_first_name": "ROSEMORE",
        "authorized_official_title_or_position": "MHS",
        "authorized_official_telephone_number": "225-315-9905",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1159204",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Zachary, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 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.