1255448247 NPI number — HOLY SPIRIT COMFORT AND HEALING CENTERS, 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 1255448247 NPI number — HOLY SPIRIT COMFORT AND HEALING CENTERS, INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
HOLY SPIRIT COMFORT AND HEALING CENTERS, 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:
1255448247
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/10/2015
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
501 RUE DE SANTE
Provider Second Line Business Mailing Address:
SUITE 12
Provider Business Mailing Address City Name:
LA PLACE
Provider Business Mailing Address State Name:
LA
Provider Business Mailing Address Postal Code:
70068-5400
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
985-653-0950
Provider Business Mailing Address Fax Number:
985-653-0190

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
719 AVENUE G
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
KENTWOOD
Provider Business Practice Location Address State Name:
LA
Provider Business Practice Location Address Postal Code:
70444-2601
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
985-229-9193
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
08/24/2006

Additional Information

Authorized Official

Authorized Official Last Name:
MURPHY
Authorized Official First Name:
LIONEL
Authorized Official Middle Name:
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
985-653-0950

Provider Taxonomy Codes

  • Taxonomy code: 282E00000X , with the licence number:  454 , 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: 1700169 , issued by the state of ( LA ) . This identifiers is of the category "MEDICAID".




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