Active NPI
Gulf Coast Opportunity Center, Inc.
- Community/Behavioral Health Agency
- Lafayette, LA
National Provider Identifier
1982901104
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2121936 | Medicaid | LA |
Other names 1
- Lafayette Senior Club
National Provider Directory
National Provider Directory- Tax ID family
- Gulf Coast Opportunity Center
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Houston, TX
- NPI 1528478039
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
- William R Guillory Jr., M.D., F.A.C.C.
- Alayna Phyllis Guillot, MS CCC-SLP
- Dillon Guillot, MAMFC,LPC,CSAT,CMAT
- Trish Howell Guillot, CRNA
- Michelle Guirard, MS, LAC, LPC
- Gulf Coast Teaching Family Service, Inc.
- Gulf Coast Teaching Family Service, Inc.
- Gulf Coast Teaching Family Services, Inc.
- Gulf Coast Teaching Family Services, Inc.
- Gulf Coast Teaching Family Services, Inc.
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.