Active NPI
Mary Joseph Residence
- Nursing Facility/Intermediate Care Facility
- New Orleans, LA
National Provider Identifier
1942205794
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nursing Facility/Intermediate Care Facility
- License
- 19E123
- 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, 2020
- 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
- Sister Paul
- Title
- Mother
- Phone
- (504) 394-2200
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 19E123 | Medicaid | LA |
Other names 1
- Little Sisters of the Poor
National Provider Directory
National Provider DirectoryNPI 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
- Emily Marx, MD
- Lindsey Marie Marx, PLPC, NCC
- Ryan Francis Marx, DPT
- Mary and Joseph Specialty Hospital
- Mary D Coghill Elementary School
- Mary L. Puissegur Lupo (Lupo Center for Aesthetic & General Dermatology)
- Mary Magdalene Personal Service
- Mary R Stock, PHD, LCSW
- Mary T. Sheriff, DPM
- Mignonne C. Mary, M.D.
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.