Southeast Louisiana Area Health Education Foundation, Inc.

Primary specialty

Exclusive Provider OrganizationTaxonomy code 302F00000X

License

CM 1414 Issued in LA

Legal business name

SOUTHEAST LOUISIANA AREA HEALTH EDUCATION FOUNDATION, INC.

Practice address

1302 J W Davis Dr
Hammond, LA 70403-5914

Phone

(985) 345-1119

NPI assigned

Mar 26, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Brian P Jakes Sr., BFA

Title

Cheif Executive Officer

Phone

(985) 345-1119

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• SELAHEC Other name

Tax ID family

Selahec2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Southeast Louisiana Ahec Foundation, Inc

  • Early Intervention Provider Agency
  • Hammond, LA
  • NPI 1245401306
  NPD tax ID

Locations

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

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1962520213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1302 J W DAVIS DR",
            "city": "HAMMOND",
            "state": "LA",
            "postal_code": "704035914",
            "telephone_number": "985-345-1119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1302 J W DAVIS DR",
            "city": "HAMMOND",
            "state": "LA",
            "postal_code": "704035914",
            "telephone_number": "985-345-1119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHEAST LOUISIANA AREA HEALTH EDUCATION FOUNDATION, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JAKES",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "CHEIF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "985-345-1119",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Sr.",
        "authorized_official_credential": "BFA"
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": "LA",
            "license": "CM 1414",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1175790",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SELAHEC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Southeast Community Health Systems
• Southeast Community Health Systems
• Southeast Community Health Systems Pharmacy
• Southeast Family Medical Practice
• Southeast Louisiana Ahec Foundation, Inc
• Southeast Louisiana Veterans Health Care System
• Southeast Menatal Health
• Southeast Mental Health LLC
• Southeastern Louisiana Univerisity
• Southeastern Louisiana University

• Exclusive Provider Organization in Hammond, LA
• Providers in Hammond, LA by specialty
• Exclusive Provider Organization in Louisiana

• 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.