1043683543 NPI number — SYLVIA'S SOCIAL SERVICES

Table of content: (NPI 1043683543)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1043683543 NPI number — SYLVIA'S SOCIAL SERVICES

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
SYLVIA'S SOCIAL SERVICES
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
SYLVIA'S CARING COMPANIONS HEALTH CARE SERVICES, INC.
Provider Other Organization Name Type Code:
3
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1043683543
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
11/05/2015
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
5700 FLORIDA BLVD STE 910
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
BATON ROUGE
Provider Business Mailing Address State Name:
LA
Provider Business Mailing Address Postal Code:
70806-4288
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
225-382-2333
Provider Business Mailing Address Fax Number:
225-382-0023

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
104 W CHURCH ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
BUNKIE
Provider Business Practice Location Address State Name:
LA
Provider Business Practice Location Address Postal Code:
71322-1717
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
318-346-2540
Provider Business Practice Location Address Fax Number:
318-346-2546
Provider Enumeration Date:
11/05/2015

Additional Information

Authorized Official

Authorized Official Last Name:
ST. ROMAIN
Authorized Official First Name:
DARLENE
Authorized Official Middle Name:
S
Authorized Official Title or Position:
EXECUTIVE DIRECTOR/OWNER
Authorized Official Telephone Number:
318-359-6067

Provider Taxonomy Codes

  • Taxonomy code: 251S00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





Copyright © 2007-2024 www.npivalidator.com