Active NPI
Gerald Martinez, LLC
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Denham Springs, LA
National Provider Identifier
1962686964
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Legal business name
- GERALD MARTINEZ, LLC
- Practice address
- 32649 Perkins Rd
Denham Springs, LA 70706-1152 - Phone
- (225) 933-7488
- NPI assigned
- Dec 27, 2007
- 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
- Ms. Laresa Osborne Teekel, QMRP
- Title
- Administrator
- Phone
- (225) 933-7488
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | 320900000X | LA | Primary |
Addresses
Primary practice location
32649 Perkins Rd
Denham Springs, LA 70706-1152
Mailing address
32649 Perkins Rd
Denham Springs, LA 70706-1152
Phone (225) 933-7488
Other names 1
- Summer House
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Intermediate care facility for individuals with intellectual disabilities certification: CCN 19G323
Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.
- Legal name
- Summer House
- Certification status
- Active
- Provider type (POS)
- Intermediate care facility for individuals with intellectual disabilities
- Participating since
- Sep 15, 1989
- Last certification
- May 14, 2025
- Beds
- 6
- Ownership / control type
- Private (proprietary)
- Facility address
- 32649 Perkins Road
Denham Springs, LA 70706
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1198713600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1422835200000",
"number": "1962686964",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "32649 PERKINS RD",
"city": "DENHAM SPRINGS",
"state": "LA",
"postal_code": "707061152",
"telephone_number": "225-933-7488"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "32649 PERKINS RD",
"city": "DENHAM SPRINGS",
"state": "LA",
"postal_code": "707061152",
"telephone_number": "225-933-7488"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GERALD MARTINEZ, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-12-27",
"last_updated": "2015-02-02",
"status": "A",
"authorized_official_last_name": "TEEKEL",
"authorized_official_first_name": "LARESA",
"authorized_official_middle_name": "OSBORNE",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "225-933-7488",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "QMRP"
},
"taxonomies": [
{
"code": "320900000X",
"taxonomy_group": "",
"desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
"state": "LA",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Summer House",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Denham Springs, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.