NPIMap

Organization Active NPI

Volunteers of America Southeast Louisiana, Inc.

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • New Orleans, LA
National Provider Identifier
1992977995
Registry record updated Sep 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X
License
2203780106 Issued in LA
Legal business name
VOLUNTEERS OF AMERICA SOUTHEAST LOUISIANA, INC.
Practice address
4174 Iberville St
New Orleans, LA 70119-5139
Phone
(504) 210-8274
Fax
(985) 617-7964
NPI assigned
Mar 31, 2008
Organization subpart
Yes
Parent organization
VOLUNTEERS OF AMERICA SELAAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 23, 2024

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

Authorized official

Name
Jason Burt
Title
Evp of Enterprise & Administration
Phone
(504) 486-8674

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X 2203780106 LA Primary

Addresses

Primary practice location

4174 Iberville St
New Orleans, LA 70119-5139

Mailing address

4152 Canal Street
New Orleans, LA 70119
Phone (504) 482-2130

Other identifiers 1

IdentifierTypeStateIssuer
1716766MedicaidLA

Other names 2

  • Volunteers of America Greater New Orleans, Inc. Former legal business name
  • Iberville Community Home Other name

National Provider Directory

National Provider Directory
Tax ID family
Volunteers of America SE la24 organizations share this tax ID, including this one
Part of
Volunteers of America SE la

Other organizations with this tax ID 23

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

View all 23

NPI Registry JSON

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

{
    "created_epoch": "1206921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727049600000",
    "number": "1992977995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4152 CANAL STREET",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "70119",
            "telephone_number": "504-482-2130",
            "fax_number": "504-482-1922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4174 IBERVILLE ST",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701195139",
            "telephone_number": "504-210-8274",
            "fax_number": "985-617-7964"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VOLUNTEERS OF AMERICA SOUTHEAST LOUISIANA, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "VOLUNTEERS OF AMERICA SELA",
        "enumeration_date": "2008-03-31",
        "last_updated": "2024-09-23",
        "certification_date": "2024-09-23",
        "status": "A",
        "authorized_official_last_name": "BURT",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "EVP OF ENTERPRISE & ADMINISTRATION",
        "authorized_official_telephone_number": "504-486-8674"
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "LA",
            "license": "2203780106",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1716766",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Volunteers of America Greater New Orleans, Inc.",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Iberville Community Home",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in New Orleans, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2024; 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.