NPIMap

Organization Active NPI

He Restored US, LLC

  • In Home Supportive Care Agency
  • Baton Rouge, LA
National Provider Identifier
1962792523
Registry record updated Apr 15, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
15382 Issued in LA
Legal business name
HE RESTORED US, LLC
Practice address
624 Connells Park LN
Ste a
Baton Rouge, LA 70806-6534
Phone
(225) 615-8035
NPI assigned
Apr 15, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2011

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

Authorized official

Name
Dienesha Brown
Title
Owner
Phone
(225) 615-8035

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X 15382 LA Primary

Addresses

Primary practice location

624 Connells Park LN
Ste a
Baton Rouge, LA 70806-6534

Mailing address

624 Connells Park LN
Ste a
Baton Rouge, LA 70806-6534
Phone (225) 615-8035

Other identifiers 3

IdentifierTypeStateIssuer
1008478MedicaidLA
1107956MedicaidLA
1008460MedicaidLA

National Provider Directory

National Provider Directory
Tax ID family
He Restored US LLC5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

Locations

624 Connell Park Ln
Ste A
Baton Rouge, LA 70806
Phone (225) 327-1707

NPI Registry JSON

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

{
    "created_epoch": "1302825600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1302825600000",
    "number": "1962792523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "624 CONNELLS PARK LN",
            "address_2": "STE A",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708066534",
            "telephone_number": "225-615-8035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "624 CONNELLS PARK LN",
            "address_2": "STE A",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708066534",
            "telephone_number": "225-615-8035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HE RESTORED US, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-15",
        "last_updated": "2011-04-15",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "DIENESHA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "225-615-8035"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "LA",
            "license": "15382",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1008478",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1107956",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1008460",
            "state": "LA"
        }
    ],
    "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 Apr 15, 2011; 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.