NPIMap

Organization Active NPI

Raven'S Outreach Center

  • Case Manager/Care Coordinator
  • Baton Rouge, LA
National Provider Identifier
1912419482
Registry record updated Oct 24, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
License
2203783574 Issued in LA
Legal business name
RAVEN'S OUTREACH CENTER
Practice address
1913 North St
Baton Rouge, LA 70802-3777
Phone
(225) 300-8642
Fax
(225) 300-8645
NPI assigned
Oct 24, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2017

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

Authorized official

Name
Mrs. Michelle E Scott
Title
Ceo
Phone
(225) 300-8642

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care CoordinatorGroup: 193400000X SINGLE SPECIALTY GROUP 171M00000X 2203783574 LA Primary

Addresses

Primary practice location

1913 North St
Baton Rouge, LA 70802-3777

Mailing address

1913 North St
Baton Rouge, LA 70802-3777
Phone (225) 300-8642

National Provider Directory

National Provider Directory

Locations

1913 North St
Baton Rouge, LA 70802
Phone (225) 300-8642

NPI Registry JSON

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

{
    "created_epoch": "1508803200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1508803200000",
    "number": "1912419482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1913 NORTH ST",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708023777",
            "telephone_number": "225-300-8642",
            "fax_number": "225-300-8645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1913 NORTH ST",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708023777",
            "telephone_number": "225-300-8642",
            "fax_number": "225-300-8645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAVEN'S OUTREACH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-24",
        "last_updated": "2017-10-24",
        "status": "A",
        "authorized_official_last_name": "SCOTT",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "225-300-8642",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Case Manager/Care Coordinator",
            "state": "LA",
            "license": "2203783574",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baton Rouge, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 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.