NPIMap

Organization Active NPI

Health Source One Private Duty & Staffing, LLC

  • Nursing Care Agency
  • Baton Rouge, LA
National Provider Identifier
1962656678
Registry record updated Nov 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Care AgencyTaxonomy code 251J00000X
License
LA 6897 Issued in LA
Legal business name
HEALTH SOURCE ONE PRIVATE DUTY & STAFFING, LLC
Practice address
11715 Bricksome Ave
Suite a-3
Baton Rouge, LA 70816-2307
Phone
(225) 293-7590
NPI assigned
Nov 7, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2008

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

Authorized official

Name
Mrs. Vanessa Jenkins Saleem
Title
Director
Phone
(225) 293-7590

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Care Agency 251J00000X LA 6897 LA Primary

Addresses

Primary practice location

11715 Bricksome Ave
Suite a-3
Baton Rouge, LA 70816-2307

Mailing address

11715 Bricksome Ave
Suite a-3
Baton Rouge, LA 70816-2307
Phone (225) 293-7590

National Provider Directory

National Provider Directory
Tax ID family
Health Source One Private Duty Staffing3 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.

Locations

11715 Bricksome Ave
Ste A3
Baton Rouge, LA 70816
Phone (225) 293-7590

NPI Registry JSON

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

{
    "created_epoch": "1226016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1226016000000",
    "number": "1962656678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11715 BRICKSOME AVE",
            "address_2": "SUITE A-3",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708162307",
            "telephone_number": "225-293-7590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11715 BRICKSOME AVE",
            "address_2": "SUITE A-3",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708162307",
            "telephone_number": "225-293-7590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTH SOURCE ONE PRIVATE DUTY & STAFFING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-07",
        "last_updated": "2008-11-07",
        "status": "A",
        "authorized_official_last_name": "SALEEM",
        "authorized_official_first_name": "VANESSA",
        "authorized_official_middle_name": "JENKINS",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "225-293-7590",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "LA",
            "license": "LA 6897",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baton Rouge, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 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.