Active NPI
Glove Inc
- Community/Behavioral Health Agency
- Ville Platte, LA
National Provider Identifier
1932571700
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- License
- 386
- Legal business name
- GLOVE INC
- Practice address
- 802 N. Dupre St.Apt 34
Ville Platte, LA 70586 - Phone
- (337) 363-4758
- Fax
- (337) 363-4758
- NPI assigned
- Oct 20, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Eddie James Goudy Jr.
- Title
- Administrator
- Phone
- (337) 363-4758
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | 386 | LA | Primary |
Addresses
Primary practice location
802 N. Dupre St.Apt 34
Ville Platte, LA 70586
Mailing address
PO Box 2051
Ville Platte, LA 70586-9051
Phone (337) 363-4758
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 600723389 | Medicaid | LA |
National Provider Directory
National Provider Directory- Tax ID family
- Glove Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Non-emergency Medical Transport (VAN)
- Ville Platte, LA
- NPI 1336449305
Locations
802 N Dupre St
#34
Ville Platte, LA 70586
Phone (337) 363-4758
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1445299200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1445299200000",
"number": "1932571700",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2051",
"city": "VILLE PLATTE",
"state": "LA",
"postal_code": "705869051",
"telephone_number": "337-363-4758",
"fax_number": "337-363-4760"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "802 N. DUPRE ST.APT 34",
"city": "VILLE PLATTE",
"state": "LA",
"postal_code": "70586",
"telephone_number": "337-363-4758",
"fax_number": "337-363-4758"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GLOVE INC",
"organizational_subpart": "NO",
"enumeration_date": "2015-10-20",
"last_updated": "2015-10-20",
"status": "A",
"authorized_official_last_name": "GOUDY",
"authorized_official_first_name": "EDDIE",
"authorized_official_middle_name": "JAMES",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "337-363-4758",
"authorized_official_name_prefix": "Mr.",
"authorized_official_name_suffix": "Jr."
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "LA",
"license": "386",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "600723389",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Ville Platte, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.