1578618484 NPI number — ASSISTANCE JUST FOR YOU

Table of content: (NPI 1578618484)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1578618484 NPI number — ASSISTANCE JUST FOR YOU

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
ASSISTANCE JUST FOR YOU
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:
1578618484
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:
PO BOX 2907
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
HAMMOND
Provider Business Mailing Address State Name:
LA
Provider Business Mailing Address Postal Code:
70404-2907
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
985-350-1446
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1665 SW RAILROAD AVE
Provider Second Line Business Practice Location Address:
SUITE 6
Provider Business Practice Location Address City Name:
HAMMOND
Provider Business Practice Location Address State Name:
LA
Provider Business Practice Location Address Postal Code:
70403-6133
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
985-350-1446
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
01/24/2007

Additional Information

Authorized Official

Authorized Official Last Name:
MCVAY
Authorized Official First Name:
SONJIA
Authorized Official Middle Name:
Authorized Official Title or Position:
FISCAL DIRECTOR
Authorized Official Telephone Number:
985-380-1446

Provider Taxonomy Codes

  • Taxonomy code: 251C00000X , with the licence number:  251C00000X , 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: 1317292 , issued by the state of ( LA ) . This identifiers is of the category "MEDICAID".




Copyright © 2007-2025 www.npivalidator.com