Organization Active NPI

Mary Joseph Residence

  • Nursing Facility/Intermediate Care Facility
  • New Orleans, LA
National Provider Identifier
1942205794
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X
License
19E123 Issued in LA
Legal business name
MARY JOSEPH RESIDENCE
Practice address
4201 Woodland Dr
New Orleans, LA 70131-7339
Phone
(504) 391-2200
NPI assigned
Jun 17, 2005
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
Sister Paul
Title
Mother
Phone
(504) 394-2200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Facility/Intermediate Care Facility 313M00000X 19E123 LA Primary

Addresses

Primary practice location

4201 Woodland Dr
New Orleans, LA 70131-7339

Mailing address

4201 Woodland Dr
New Orleans, LA 70131-7339
Phone (504) 391-2200

Other identifiers 1

IdentifierTypeStateIssuer
19E123MedicaidLA

Other names 1

  • Little Sisters of the Poor Other name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1118966400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1942205794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4201 WOODLAND DR",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701317339",
            "telephone_number": "504-391-2200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4201 WOODLAND DR",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701317339",
            "telephone_number": "504-391-2200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARY JOSEPH RESIDENCE",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PAUL",
        "authorized_official_first_name": "SISTER",
        "authorized_official_title_or_position": "MOTHER",
        "authorized_official_telephone_number": "504-394-2200"
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "LA",
            "license": "19E123",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "19E123",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Little Sisters of the Poor",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in New Orleans, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.