Organization Active NPI

Gulf Coast Opportunity Center, Inc.

  • Community/Behavioral Health Agency
  • Lafayette, LA
National Provider Identifier
1982901104
Registry record updated Feb 24, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
GULF COAST OPPORTUNITY CENTER, INC.
Practice address
1011 Surrey St
Lafayette, LA 70501-6142
Phone
(337) 654-5519
NPI assigned
Feb 24, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2011

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

Authorized official

Name
Ms. Donna McPherson
Title
Boad Member
Phone
(318) 445-6470

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

1011 Surrey St
Lafayette, LA 70501-6142

Mailing address

4333 Shreveport Hwy
Pineville, LA 71360-3828
Phone (318) 445-6470

Other identifiers 1

IdentifierTypeStateIssuer
2121936MedicaidLA

Other names 1

  • Lafayette Senior Club Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Gulf Coast Opportunity Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

NPI Registry JSON

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

{
    "created_epoch": "1298505600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1298505600000",
    "number": "1982901104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4333 SHREVEPORT HWY",
            "city": "PINEVILLE",
            "state": "LA",
            "postal_code": "713603828",
            "telephone_number": "318-445-6470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1011 SURREY ST",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705016142",
            "telephone_number": "337-654-5519"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GULF COAST OPPORTUNITY CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-24",
        "last_updated": "2011-02-24",
        "status": "A",
        "authorized_official_last_name": "MCPHERSON",
        "authorized_official_first_name": "DONNA",
        "authorized_official_title_or_position": "BOAD MEMBER",
        "authorized_official_telephone_number": "318-445-6470",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2121936",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lafayette Senior Club",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lafayette, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 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.