1184953440 NPI number — LEDA ENTERPRISES 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 1184953440 NPI number — LEDA ENTERPRISES INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
LEDA ENTERPRISES 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:
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:
1184953440
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
02/19/2010
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
3706 PRYTANIA ST
Provider Second Line Business Mailing Address:
3706 PRYTANIA ST
Provider Business Mailing Address City Name:
NEW ORLEANS
Provider Business Mailing Address State Name:
LA
Provider Business Mailing Address Postal Code:
70115-3733
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
504-874-3748
Provider Business Mailing Address Fax Number:
504-894-8908

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
516 HWY 1
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
DONALDSONVILLE
Provider Business Practice Location Address State Name:
LA
Provider Business Practice Location Address Postal Code:
70346
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
504-874-3748
Provider Business Practice Location Address Fax Number:
504-894-8908
Provider Enumeration Date:
12/16/2009

Additional Information

Authorized Official

Authorized Official Last Name:
OKPALOBI
Authorized Official First Name:
PAIGEDENE
Authorized Official Middle Name:
ANN
Authorized Official Title or Position:
SECRETARY
Authorized Official Telephone Number:
504-874-3748

Provider Taxonomy Codes

  • Taxonomy code: 207R00000X , with the licence number:  APPLIED FOR , 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: APPLIED FOR , issued by the state of ( LA ) . This identifiers is of the category "MEDICAID".




Copyright © 2007-2025 www.npivalidator.com