1043555832 NPI number — A CHARMED LIFE CHILD CARE, INC.

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1043555832 NPI number — A CHARMED LIFE CHILD CARE, INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
A CHARMED LIFE CHILD CARE, INC.
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:
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:
1043555832
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
12/05/2012
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1119 RACE ST
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
NEW ORLEANS
Provider Business Mailing Address State Name:
LA
Provider Business Mailing Address Postal Code:
70130-4717
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
619-606-2686
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1119 RACE ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
NEW ORLEANS
Provider Business Practice Location Address State Name:
LA
Provider Business Practice Location Address Postal Code:
70130-4717
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
619-606-2686
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
12/05/2012

Additional Information

Authorized Official

Authorized Official Last Name:
TARRE
Authorized Official First Name:
MARIA
Authorized Official Middle Name:
CHRISTINA
Authorized Official Title or Position:
CFO
Authorized Official Telephone Number:
619-606-2686

Provider Taxonomy Codes

  • Taxonomy code: 253Z00000X , with the licence number:  198676 , 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)





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