Organization Active NPI

Anioma Living, Inc.

Doing business as Iberville Community Home

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • New Orleans, LA
National Provider Identifier
1922212695
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X
Legal business name
ANIOMA LIVING, INC.
Doing business as
Iberville Community Home
Practice address
3228 Iberville St
New Orleans, LA 70119-5424
Phone
(504) 821-1140
Fax
(504) 368-9192
NPI assigned
May 10, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Paige A Okpalobi
Title
Q
Phone
(504) 368-9191

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X NU Primary

Addresses

Primary practice location

3228 Iberville St
New Orleans, LA 70119-5424

Mailing address

PO Box 8130
New Orleans, LA 70182-8130
Phone (504) 821-1140

Other identifiers 1

IdentifierTypeStateIssuer
1717932MedicaidLA

Other names 1

  • Iberville Community Home Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1922212695. Details of each certification follow.

  • CCN 19G288 Intermediate care facility for individuals with intellectual disabilities · Active · Name & address match · Details

Intermediate care facility for individuals with intellectual disabilities certification: CCN 19G288

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
Iberville Community Home
Certification status
Active
Provider type (POS)
Intermediate care facility for individuals with intellectual disabilities
Participating since
Jan 11, 1989
Last certification
May 5, 2025
Beds
6
Ownership / control type
Private (proprietary)
Facility address
3228 Iberville Street
New Orleans, LA 70119

National Provider Directory

National Provider Directory
Tax ID family
Anioma Living5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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": "1178755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1922212695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8130",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701828130",
            "telephone_number": "504-821-1140",
            "fax_number": "504-368-9192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3228 IBERVILLE ST",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701195424",
            "telephone_number": "504-821-1140",
            "fax_number": "504-368-9192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANIOMA LIVING, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "OKPALOBI",
        "authorized_official_first_name": "PAIGE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "Q",
        "authorized_official_telephone_number": "504-368-9191"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1717932",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Iberville Community Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in New Orleans, LA

Sources for this page

Verify at the official NPI Registry.