1205951886 NPI number — STRIVE INCORPORATED

Table of content: (NPI 1205951886)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1205951886 NPI number — STRIVE INCORPORATED

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
STRIVE 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:
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:
1205951886
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/22/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1139 NAPOLEON AVE
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:
70115-2820
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
504-895-2557
Provider Business Mailing Address Fax Number:
504-899-9985

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1139 NAPOLEON AVE
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:
70115-2820
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
504-895-2557
Provider Business Practice Location Address Fax Number:
504-899-9985
Provider Enumeration Date:
03/20/2007

Additional Information

Authorized Official

Authorized Official Last Name:
GIRSHEFSKI
Authorized Official First Name:
SISTER MARY JEANNE
Authorized Official Middle Name:
Authorized Official Title or Position:
EXECUTIVE DIRECTOR
Authorized Official Telephone Number:
504-895-2557

Provider Taxonomy Codes

  • Taxonomy code: 251C00000X , with the licence number:  2247 , registered in the state of LA ; information, associated with the NPI states the following Primary Taxonomy Switch: "X" .
  • Taxonomy code: 3104A0625X , with the licence number: 3617 , registered in the state of LA ; information, associated with the NPI states the following Primary Taxonomy Switch: "X" .
  • Taxonomy code: 3104A0625X , with the licence number: 7590 , registered in the state of LA ; information, associated with the NPI states the following Primary Taxonomy Switch: "X" .
  • Taxonomy code: 310500000X , with the licence number: 258 , registered in the state of LA ; information, associated with the NPI states the following Primary Taxonomy Switch: "X" .

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

  • Identifier: 1928909 , issued by the state of ( LA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 1961710 , issued by the state of ( LA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 1715549 , issued by the state of ( LA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 1564214 , issued by the state of ( LA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 1962775 , issued by the state of ( LA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 1665533 , issued by the state of ( LA ) . This identifiers is of the category "MEDICAID".




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