GRACE OUTREACH CENTER (NPI# 1104083187) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104083187 |
| Entity Type | Organization |
| Organization Name | GRACE OUTREACH CENTER |
| Practice Address |
2601 Tulane Ave Ste 600 New Orleans LA 70119-7462 |
| Practice Telephone | 5043246863 |
| Mailing Telephone | 5043246863 |
| Enumeration Date | 2008-05-19 |
| Last Update Date | 2008-05-19 |
| Authorized Official Name | PYTHIAN NOAH (PASTOR/DIRECTOR) |
| Authorized Official Telephone | 5043246863 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251B00000X | Case Management | 398 | LA | Agencies |
| Y | 251S00000X | Community/Behavioral Health | 398 | LA | Agencies |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578791836 | Grace Outreach Center | Clinic/Center | 2533 Lasalle St, New Orleans, LA 70113-2531 | 2009-06-25 |
| 1891000667 | Grace Outreach Center | Community/Behavioral Health | 2533 Lasalle St, New Orleans, LA 70113-2531 | 2010-08-17 |
| Street Address |
2601 TULANE AVE STE 600 |
| City | NEW ORLEANS |
| State | LA |
| Zip Code | 70119-7462 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578161105 | Mark P Kostelak | Perfusionist | Southeast Louisiana Veterans Health Care System, 2400 Canal Street, New Orleans, LA 70119 | 2020-10-15 |
| 1922626365 | Shanika Valcour-leduff | Nurse Practitioner | 535 S Galvez St., New Orleans, LA 70119 | 2020-07-13 |
| 1932723335 | Just Health | Clinic/Center | 2800 Perdido St, New Orleans, LA 70119 | 2020-06-01 |
| 1205460235 | Lily Tran | Registered Nurse | 119 S Galvez Street, New Orleans, LA 70119 | 2020-02-28 |
| 1740823137 | Kaylyn Bernard | Case Manager/Care Coordinator | 2626 Canal St., New Orleans, LA 70119 | 2019-10-18 |
| 1114577954 | Alyssia Breion Smith | Case Manager/Care Coordinator | 1995 Gentilly Blvd. Ste. C-400, New Orleans, LA 70119 | 2019-09-13 |
| 1457903387 | Brian Steven Goldfarb | Dentist | 3701 Conti St, Apt #3403, New Orleans, LA 70119 | 2019-07-11 |
| 1013404011 | Made Positive, Inc. | Community/Behavioral Health | 3443 Esplanade Ave., Suite 215, New Orleans, LA 70119 | 2018-04-16 |
| 1972008654 | Griffin Caballero Brown | Student in an Organized Health Care Education/Training Program | 520 Jefferson Davis Hwy, New Orleans, LA 70119 | 2018-03-26 |
| 1902300544 | Kyle Raymond Hoppens | Student in an Organized Health Care Education/Training Program | 4502 Saint Ann Street, New Orleans, LA 70119 | 2018-03-20 |
| Find all providers in zip 70119 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992314082 | Brighter Perspectives Behavioral Services | Community/Behavioral Health | 4942 Gawain Dr, New Orleans, LA 70127-3224 | 2020-07-24 |
| 1275151904 | Brothers At Peace Youth Initiative | Community/Behavioral Health | 6221 S Claiborne Ave Ste 517, New Orleans, LA 70125-4142 | 2020-07-09 |
| 1528546066 | Ashley Jones | Community/Behavioral Health | 2208 Milan St, New Orleans, LA 70115-5452 | 2018-08-06 |
| 1043702814 | Unh Counseling Services, LLC | Community/Behavioral Health | 1050 S Jefferson Davis Pkwy Ste 239, New Orleans, LA 70125 | 2018-06-06 |
| 1013404011 | Made Positive, Inc. | Community/Behavioral Health | 3443 Esplanade Ave., Suite 215, New Orleans, LA 70119 | 2018-04-16 |
| 1841796034 | Jasmine Rousell | Community/Behavioral Health | 200 S Broad St Ste 6, New Orleans, LA 70119-6447 | 2018-04-05 |
| 1497253579 | Inspiring Hope | Community/Behavioral Health | 701 Loyola Ave Ste 804, New Orleans, LA 70113-1912 | 2018-01-24 |
| 1417475849 | Delonder Johnson | Community/Behavioral Health | 8080 Crowder Blvd Ste A, New Orleans, LA 70127-1077 | 2017-09-06 |
| 1992235998 | Sunrise Counseling & Family Therapy, LLC | Community/Behavioral Health | 7240 Crowder Blvd Ste I, New Orleans, LA 70127-1922 | 2017-06-13 |
| 1962931055 | Willie Marsalis | Community/Behavioral Health | 2934 Cambronne St, New Orleans, LA 70118-3102 | 2017-06-12 |
| Find all providers in NEW ORLEANS | ||||
| City | NEW ORLEANS |
| Zip Code | 70119 |
Please comment or provide details below to improve the information on GRACE OUTREACH CENTER.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.