Port City Enterprises, Inc., NPI 1881814150
Child Intellectual and/or Developmental Disabilities Respite Care in Port Allen, LA, US
NPI number: what is it?
The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...
| NPI | 1881814150 |
| NPI Entity Type | Organization |
| Provider Name | Port City Enterprises, Inc. |
| Enumeration Date | September 30, 2009 |
| Last Update Date | September 30, 2009 |
| Provider Location Address | 836 N 7th St, Port Allen, LA, US |
| Provider Mailing Address | 836 North 7th St, Port Allen, LA, US, 70767 |
| Is Sole Proprietor? | No |
Organization Official
| Official Name | Christine C. Dunlevy |
| Official Position | EXECUTIVE DIRECTOR |
| Phone | 225-344-1142 |
Primary Taxonomy
| Taxonomy Code | |
| Taxonomy Name | Child Intellectual and/or Developmental Disabilities Respite Care |
| Classification | |
| Group | |
| License No. | ADC 2263 |
| License State | LA |
| Description | A facility or distinct part of a facility that provides short term, residential care to children diagnosed with intellectual and/or developmental disabilities as respite for the regular caregivers. |
Secondary Taxonomies
| Taxonomy Code | Group | Classification | License No. | State | Primary? |
|---|---|---|---|---|---|
| PCA 4624 | LA | No | |||
| RC 6081 | LA | No | |||
| SIL 4589 | LA | No |
Other Identifiers
| Identifier | Identifier State | Identifier Issuer | Type/Code |
|---|---|---|---|
| 1686646 | LA | MEDICAID | 05 |
| 1937746 | LA | MEDICAID | 05 |
| 1686638 | LA | MEDICAID | 05 |
| 1911283 | LA | MEDICAID | 05 |
| 1551988 | LA | MEDICAID | 05 |
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