1861799140 NPI number — HARMONY CENTER, INCORPORATED

Table of content: (NPI 1861799140)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1861799140 NPI number — HARMONY CENTER, INCORPORATED

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
HARMONY CENTER, INCORPORATED
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:
BUTLER'S CROSSING
Provider Other Organization Name Type Code:
5
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:
1861799140
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
02/22/2011
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
2736 FLORIDA BLVD
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:
70802-2719
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
225-383-9139
Provider Business Mailing Address Fax Number:
225-336-4861

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2736 FLORIDA BLVD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
BATON ROUGE
Provider Business Practice Location Address State Name:
LA
Provider Business Practice Location Address Postal Code:
70802-2719
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
225-383-9139
Provider Business Practice Location Address Fax Number:
225-336-4861
Provider Enumeration Date:
02/22/2011

Additional Information

Authorized Official

Authorized Official Last Name:
TEMPLE
Authorized Official First Name:
COLLIS
Authorized Official Middle Name:
BENTON
Authorized Official Title or Position:
CHIEF EXECUTIVE OFFICER
Authorized Official Telephone Number:
225-383-9139

Provider Taxonomy Codes

  • Taxonomy code: 251C00000X , with the licence number:  1449 , registered in the state of LA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 1156043 , issued by the state of ( LA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 1717240 , issued by the state of ( LA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 1439444 , issued by the state of ( LA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 1713210 , issued by the state of ( LA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 1715425 , issued by the state of ( LA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 1717231 , issued by the state of ( LA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 1457914 , issued by the state of ( LA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 193070 , issued by the state of ( LA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 1713571 , issued by the state of ( LA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 1717070 , issued by the state of ( LA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 1713902 , issued by the state of ( LA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 1716987 , issued by the state of ( LA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 1713481 , issued by the state of ( LA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 1717177 , issued by the state of ( LA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 1457906 , issued by the state of ( LA ) . This identifiers is of the category "MEDICAID".




Copyright © 2007-2024 www.npivalidator.com