NPIMap

Organization Active NPI

Mangham Home Care, Inc.

  • Home Health Agency
  • Mangham, LA
National Provider Identifier
1972767291
Registry record updated Jul 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
MANGHAM HOME CARE, INC.
Practice address
714 Broadway Street
Mangham, LA 71259
Phone
(318) 248-2849
NPI assigned
Jul 16, 2008
Last updated
Jul 16, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2008

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

Authorized official

Name
Mrs. Ida Gilley
Title
Administrator
Phone
(318) 248-2849

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X NU Primary

Addresses

Primary practice location

714 Broadway Street
Mangham, LA 71259

Mailing address

714 Broadway Street
Mangham, LA 71259
Phone (318) 248-2849

National Provider Directory

National Provider Directory
Tax ID family
Mangham Home Care4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

Locations

714 Broadway St
Mangham, LA 71259
Phone (318) 248-2797

NPI Registry JSON

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

{
    "created_epoch": "1216166400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216166400000",
    "number": "1972767291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "714 BROADWAY STREET",
            "city": "MANGHAM",
            "state": "LA",
            "postal_code": "71259",
            "telephone_number": "318-248-2849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "714 BROADWAY STREET",
            "city": "MANGHAM",
            "state": "LA",
            "postal_code": "71259",
            "telephone_number": "318-248-2849"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANGHAM HOME CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-16",
        "last_updated": "2008-07-16",
        "status": "A",
        "authorized_official_last_name": "GILLEY",
        "authorized_official_first_name": "IDA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "318-248-2849",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mangham, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 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.