Organization Active NPI

First Chance Independent Living

  • Home Health Agency
  • Baton Rouge, LA
National Provider Identifier
1992900385
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
12020 Issued in LA
Legal business name
FIRST CHANCE INDEPENDENT LIVING
Practice address
414 N Acadian Thruway
Baton Rouge, LA 70806-3260
Phone
(225) 383-1525
Fax
(225) 383-1521
NPI assigned
Jun 18, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Marita Yvette Bankston
Title
Program Director
Phone
(225) 383-1525

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 12020 LA Primary

Addresses

Primary practice location

414 N Acadian Thruway
Baton Rouge, LA 70806-3260

Mailing address

414 N Acadian Thruway
Baton Rouge, LA 70806-3260
Phone (225) 383-1525

Other identifiers 2

IdentifierTypeStateIssuer
1469718MedicaidLA
1469726MedicaidLA

National Provider Directory

National Provider Directory
Tax ID family
First Chance Independent Living Inc4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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": "1182124800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1992900385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "414 N ACADIAN THRUWAY",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708063260",
            "telephone_number": "225-383-1525",
            "fax_number": "225-383-1521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "414 N ACADIAN THRUWAY",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708063260",
            "telephone_number": "225-383-1525",
            "fax_number": "225-383-1521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIRST CHANCE INDEPENDENT LIVING",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BANKSTON",
        "authorized_official_first_name": "MARITA",
        "authorized_official_middle_name": "YVETTE",
        "authorized_official_title_or_position": "PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "225-383-1525"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "LA",
            "license": "12020",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1469718",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1469726",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Baton Rouge, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.