Organization Active NPI

Lakeland Health Care Home and Community Based Waiver

  • Case Management Agency
  • Hammond, LA
National Provider Identifier
1922289990
Registry record updated Jun 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
License
PCA 7025 Issued in LA
Legal business name
LAKELAND HEALTH CARE HOME AND COMMUNITY BASED WAIVER
Practice address
1206 J W Davis Dr
Suite 109
Hammond, LA 70403-5953
Phone
(985) 340-0038
Fax
(985) 542-3161
NPI assigned
Nov 19, 2007
Last updated
Jun 17, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2008

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

Authorized official

Name
Paige Ann Okpalobi
Title
Administrator
Phone
(985) 340-0038

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X PCA 7025 LA Primary

Addresses

Primary practice location

1206 J W Davis Dr
Suite 109
Hammond, LA 70403-5953

Mailing address

3525 Prytania St
Suite 609
New Orleans, LA 70115-3500
Phone (985) 340-0038

Other identifiers 1

IdentifierTypeStateIssuer
1026875MedicaidLA

National Provider Directory

National Provider Directory
Tax ID family
Lakeland Health Care Home and Community Based Waiver3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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": "1195430400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213660800000",
    "number": "1922289990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3525 PRYTANIA ST",
            "address_2": "SUITE 609",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701153500",
            "telephone_number": "985-340-0038",
            "fax_number": "985-542-3161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1206 J W DAVIS DR",
            "address_2": "SUITE 109",
            "city": "HAMMOND",
            "state": "LA",
            "postal_code": "704035953",
            "telephone_number": "985-340-0038",
            "fax_number": "985-542-3161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKELAND HEALTH CARE HOME AND COMMUNITY BASED WAIVER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-19",
        "last_updated": "2008-06-17",
        "status": "A",
        "authorized_official_last_name": "OKPALOBI",
        "authorized_official_first_name": "PAIGE",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "985-340-0038"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "LA",
            "license": "PCA 7025",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1026875",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hammond, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2008; 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.