NPIMap

Organization Active NPI

Gulf Coast Teaching Family Services, Inc.

  • Community/Behavioral Health Agency
  • Metairie, LA
National Provider Identifier
1992833479
Registry record updated Sep 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
PCA6905 Issued in LA
Legal business name
GULF COAST TEACHING FAMILY SERVICES, INC.
Practice address
2400 Edenborn Ave
Metairie, LA 70001-1817
Phone
(504) 831-6561
Fax
(504) 835-3156
NPI assigned
Feb 28, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2023

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

Authorized official

Name
Mr. Willie Green, MPA
Title
Ceo
Phone
(504) 831-6561

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X PCA6905 LA Primary
In Home Supportive Care Agency 253Z00000X

Addresses

Primary practice location

2400 Edenborn Ave
Metairie, LA 70001-1817

Mailing address

2400 Edenborn Ave
Metairie, LA 70001-1817
Phone (504) 831-6561

Other identifiers 1

IdentifierTypeStateIssuer
1910686MedicaidLA

Other names 1

  • Gulf Coast Social Services, Inc. Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Gulf Coast Teaching Family Services56 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 12

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

NPI Registry JSON

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

{
    "created_epoch": "1172620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695168000000",
    "number": "1992833479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2400 EDENBORN AVE",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700011817",
            "telephone_number": "504-831-6561",
            "fax_number": "504-835-3156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 EDENBORN AVE",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700011817",
            "telephone_number": "504-831-6561",
            "fax_number": "504-835-3156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GULF COAST TEACHING FAMILY SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-28",
        "last_updated": "2023-09-20",
        "certification_date": "2023-09-20",
        "status": "A",
        "authorized_official_last_name": "GREEN",
        "authorized_official_first_name": "WILLIE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "504-831-6561",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MPA"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "LA",
            "license": "PCA6905",
            "primary": true
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1910686",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gulf Coast Social Services, Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Metairie, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2023; 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.