1609159375 NPI number — RAMY CORPORATION

Table of content: JINNA SIMONE SHIVER AUD (NPI 1770011132)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1609159375 NPI number — RAMY CORPORATION

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
RAMY CORPORATION
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:
Provider Other Organization Name Type Code:
6
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:
1609159375
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
06/30/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 1756
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
GRETNA
Provider Business Mailing Address State Name:
LA
Provider Business Mailing Address Postal Code:
70054-1756
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
504-417-3728
Provider Business Mailing Address Fax Number:
504-371-5320

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
252 HECTOR AVE STE B
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
GRETNA
Provider Business Practice Location Address State Name:
LA
Provider Business Practice Location Address Postal Code:
70056-2548
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
504-417-3728
Provider Business Practice Location Address Fax Number:
504-372-2775
Provider Enumeration Date:
09/20/2011

Additional Information

Authorized Official

Authorized Official Last Name:
MARTINEZ
Authorized Official First Name:
MARY
Authorized Official Middle Name:
E
Authorized Official Title or Position:
DIRECTOR
Authorized Official Telephone Number:
504-417-3728

Provider Taxonomy Codes

  • Taxonomy code: 261QM0801X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 261QM1300X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 261QP2300X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: AETNA . This is a "AETNA FOR BETTER HEALTH" identifier , issued by the state of ( LA ) . This identifiers is of the category "OTHER".
  • Identifier: AMERI . This is a "AMERIHEALTH CARITAS LOUISIANA" identifier . This identifiers is of the category "OTHER".
  • Identifier: LHC . This is a "LA. HEALTHCARE CONNECTIONS" identifier , issued by the state of ( LA ) . This identifiers is of the category "OTHER".
  • Identifier: UHC . This is a "UNITED HEALTH COMMUNITY PLAN" identifier , issued by the state of ( LA ) . This identifiers is of the category "OTHER".
  • Identifier: HB . This is a "HEALTHY BLUE" identifier , issued by the state of ( LA ) . This identifiers is of the category "OTHER".
  • Identifier: HUMAN . This is a "HUMANA" identifier , issued by the state of ( LA ) . This identifiers is of the category "OTHER".
  • Identifier: HUM . This is a "HUMANA" identifier , issued by the state of ( LA ) . This identifiers is of the category "OTHER".
  • Identifier: MCAID , issued by the state of ( LA ) . This identifiers is of the category "MEDICAID".




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