ANIOMA LIVING, INC. (NPI# 1922212695) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922212695 |
| Entity Type | Organization |
| Organization Name | ANIOMA LIVING, INC. |
| Other Organization Name | IBERVILLE COMMUNITY HOME |
| Practice Address |
3228 Iberville St New Orleans LA 70119-5424 |
| Mailing Address |
Po Box 8130 New Orleans LA 70182-8130 |
| Practice Telephone | 5048211140 |
| Practice Fax Number | 5043689192 |
| Mailing Telephone | 5048211140 |
| Mailing Fax Number | 5043689192 |
| Enumeration Date | 2007-05-10 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | PAIGE A OKPALOBI (Q) |
| Authorized Official Telephone | 5043689191 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320900000X | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 1717932 | 05 |
| Other Name | Type Code |
|---|---|
| Iberville Community Home | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861512295 | Anioma Living, Inc. | Case Management | 1799 Stumpf Blvd, Building 7 Suite 5b, Terrytown, LA 70056-3950 | 2007-03-30 |
| Street Address |
3228 IBERVILLE ST |
| City | NEW ORLEANS |
| State | LA |
| Zip Code | 70119-5424 |
| 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 | 320900000X |
| Grouping | Residential Treatment Facilities |
| Classification | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities |
| A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831422468 | Bedside Homecare, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1455 N. Claiborne Ave, New Orleans, LA 70116 | 2009-09-15 |
| 1437389038 | Bedside Homecare, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1455 N. Claiborne Ave., New Orleans, LA 70116 | 2009-07-17 |
| 1164618534 | Exxodus Foundation Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 21 English Turn Dr, Suite A, New Orleans, LA 70131-3308 | 2007-09-19 |
| 1245352830 | Greater New Orleans Supports and Services Center-sil | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 4460 General Meyer Ave, New Orleans, LA 70131-3529 | 2007-04-04 |
| 1942682083 | Ergo Tech,inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2601 Somerset Dr, New Orleans, LA 70131-5227 | 2015-06-25 |
| 1922331552 | Bedside Homecare, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1455 N. Claiborne Ave, New Orleans, LA 70116 | 2009-09-15 |
| 1376719369 | Greater New Orleans Supports and Services Center | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 4460 General Meyer Ave, New Orleans, LA 70131-3529 | 2008-04-30 |
| 1043485667 | Greater New Orleans Supports and Services Ctr. - Vulcan Street Ch | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 4460 General Meyer Ave, New Orleans, LA 70131-3529 | 2008-04-24 |
| 1073790044 | Greater New Orleans Supports and Services Center - Sil | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 4460 General Meyer Ave, New Orleans, LA 70131-3529 | 2008-01-22 |
| 1548449747 | Dreamcatchers Total Care, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 3520 General Degaulle Dr, Suite 3040, New Orleans, LA 70114-6757 | 2007-10-24 |
| Find all providers in NEW ORLEANS | ||||
| City | NEW ORLEANS |
| Zip Code | 70119 |
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| 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.