NPIMap

Organization Active NPI

Nola, Pride-WFH LLC

  • Community/Behavioral Health Agency
  • Metairie, LA
National Provider Identifier
1912386640
Registry record updated Dec 13, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
NOLA, PRIDE-WFH LLC
Practice address
700 Phosphor Ave
Suite C
Metairie, LA 70005
Phone
(504) 287-4160
Fax
(504) 305-0454
NPI assigned
May 27, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2017

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

Authorized official

Name
Mrs. Nejuan Bakewell
Title
Ceo
Phone
(504) 458-0370

Specialties & licenses 1

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

Addresses

Primary practice location

700 Phosphor Ave
Suite C
Metairie, LA 70005

Mailing address

700 Phosphor Ave
Suite C
Metairie, LA 70005
Phone (504) 287-4160

National Provider Directory

National Provider Directory

Locations

700 Phosphor Ave
Ste C
Metairie, LA 70005
Phone (504) 287-4160

NPI Registry JSON

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

{
    "created_epoch": "1432684800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1513123200000",
    "number": "1912386640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 PHOSPHOR AVE",
            "address_2": "SUITE C",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "70005",
            "telephone_number": "504-287-4160",
            "fax_number": "504-305-0454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 PHOSPHOR AVE",
            "address_2": "SUITE C",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "70005",
            "telephone_number": "504-287-4160",
            "fax_number": "504-305-0454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOLA, PRIDE-WFH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-27",
        "last_updated": "2017-12-13",
        "status": "A",
        "authorized_official_last_name": "BAKEWELL",
        "authorized_official_first_name": "NEJUAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "504-458-0370",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Metairie, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2017; 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.