Innovative Community Action Network

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Legal business name

INNOVATIVE COMMUNITY ACTION NETWORK

Practice address

1108 Dellwood Dr Ste a
Richwood, LA 71202-6738

Phone

(318) 280-6110

NPI assigned

Dec 6, 2011

Last updated

Dec 6, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Christopher Dewayne Handy, PHD

Title

Executive Director

Phone

(318) 280-6110

Specialties & licenses 3

Addresses

Locations

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

{
    "created_epoch": "1323129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323129600000",
    "number": "1992073894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7514",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712117514",
            "telephone_number": "318-280-6110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1108 DELLWOOD DR STE A",
            "city": "RICHWOOD",
            "state": "LA",
            "postal_code": "712026738",
            "telephone_number": "318-280-6110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNOVATIVE COMMUNITY ACTION NETWORK",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-06",
        "last_updated": "2011-12-06",
        "status": "A",
        "authorized_official_last_name": "HANDY",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "DEWAYNE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "318-280-6110",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "101YP1600X",
            "taxonomy_group": "",
            "desc": "Counselor, Pastoral",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sheryl Yvette Bowie
• Joseph Davis
• Open Arms Transportation Services
• Marlina Stevenson

• Case Management Agency in Richwood, LA
• Providers in Richwood, LA by specialty
• Case Management Agency in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 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.