Organization Active NPI

Wilkinson Community Outreach

  • Developmentally Disabled Services Day Training Agency
  • Hammond, LA
National Provider Identifier
1982106159
Registry record updated Mar 5, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
License
2203782738 Issued in LA
Legal business name
WILKINSON COMMUNITY OUTREACH
Practice address
1305 Derek Dr
Hammond, LA 70403-5717
Phone
(985) 542-2000
NPI assigned
Mar 5, 2018
Organization subpart
Yes
Parent organization
WILKINSON CARE GIVING LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 5, 2018

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

Authorized official

Name
Alicia Wilkinson
Title
Owner/Administrator
Phone
(985) 429-0119

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X 2203782738 LA Primary

Addresses

Primary practice location

1305 Derek Dr
Hammond, LA 70403-5717

Mailing address

18314 S I 12 Service Rd Ste B
Ponchatoula, LA 70454-4710
Phone (985) 429-0119

National Provider Directory

National Provider Directory
Tax ID family
Wilkinson Community Outreach5 organizations share this tax ID, including this one
Part of
Wilkinson Community Outreach

Other organizations with this tax ID 4

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

Locations

1305 Derek Dr
Hammond, LA 70403
Phone (985) 542-2000

18314 S I 12 Service Rd
#B
Ponchatoula, LA 70454

NPI Registry JSON

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

{
    "created_epoch": "1520208000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1520208000000",
    "number": "1982106159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18314 S I 12 SERVICE RD STE B",
            "city": "PONCHATOULA",
            "state": "LA",
            "postal_code": "704544710",
            "telephone_number": "985-429-0119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1305 DEREK DR",
            "city": "HAMMOND",
            "state": "LA",
            "postal_code": "704035717",
            "telephone_number": "985-542-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILKINSON COMMUNITY OUTREACH",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WILKINSON CARE GIVING LLC",
        "enumeration_date": "2018-03-05",
        "last_updated": "2018-03-05",
        "status": "A",
        "authorized_official_last_name": "WILKINSON",
        "authorized_official_first_name": "ALICIA",
        "authorized_official_title_or_position": "OWNER/ADMINISTRATOR",
        "authorized_official_telephone_number": "985-429-0119"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "LA",
            "license": "2203782738",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hammond, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2018; 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.