Bayou Advantage, LLC

Primary specialty

Voluntary or Charitable AgencyTaxonomy code 251V00000X

Legal business name

BAYOU ADVANTAGE, LLC

Practice address

13313 Jackson Rd
Zachary, LA 70791-7638

Phone

(225) 323-4394

NPI assigned

May 30, 2014

Organization subpart

No

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

Authorized official

Name

Ms. Jenna Broadway

Title

Owner/Manager/Operator

Phone

(225) 323-4394

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1401408000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1412726400000",
    "number": "1982016580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 158",
            "city": "PRIDE",
            "state": "LA",
            "postal_code": "707700158",
            "telephone_number": "225-323-4394"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13313 JACKSON RD",
            "city": "ZACHARY",
            "state": "LA",
            "postal_code": "707917638",
            "telephone_number": "225-323-4394"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAYOU ADVANTAGE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-30",
        "last_updated": "2014-10-08",
        "status": "A",
        "authorized_official_last_name": "BROADWAY",
        "authorized_official_first_name": "JENNA",
        "authorized_official_title_or_position": "OWNER/MANAGER/OPERATOR",
        "authorized_official_telephone_number": "225-323-4394",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in Zachary, LA
• Voluntary or Charitable Agency in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2014; 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.