PENN 123 LLC (NPI# 1932640521) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932640521 |
| Entity Type | Organization |
| Organization Name | PENN 123 LLC |
| Other Organization Name | AVENUES RECOVERY CENTER OF NEW ORLEANS |
| Practice Address |
4933 Wabash St Metairie LA 70001 |
| Mailing Address |
211 Boulevard of The Americas Suite 503 Lakewood NJ 08701 |
| Practice Telephone | 5047802766 |
| Practice Fax Number | 9853070827 |
| Mailing Telephone | 7323078000 |
| Enumeration Date | 2017-03-15 |
| Last Update Date | 2020-08-21 |
| Authorized Official Name | HUDI ALTER (CEO) |
| Authorized Official Telephone | 7323078000 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 324500000X | Substance Abuse Rehabilitation Facility | Residential Treatment Facilities |
| Other Name | Type Code |
|---|---|
| Addiction Recovery Resources Inc. | Doing Business As Name - Organization |
| Avenues Recovery Center of New Orleans | Doing Business As Name - Organization |
| Street Address |
4933 WABASH ST |
| City | METAIRIE |
| State | LA |
| Zip Code | 70001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730186750 | Alphonse Kenison Roy IIi | Psychiatry & Neurology | 4933 Wabash St, Metairie, LA 70001-1031 | 2005-07-05 |
| 1922546035 | Browers, LLC | Psychiatry & Neurology | 4933 Wabash St, Metairie, LA 70001-1031 | 2017-02-09 |
| 1598215931 | Geshia Hohbach | Registered Nurse | 4933 Wabash St, Metairie, LA 70001-1031 | 2016-10-10 |
| 1073063475 | Rita Broughton | Licensed Practical Nurse | 4933 Wabash St, Metairie, LA 70001-1031 | 2016-10-10 |
| 1235689654 | Holly Soignier Mollere | Registered Nurse | 4933 Wabash St, Metairie, LA 70001-1031 | 2016-10-10 |
| 1841749017 | Laura Gray | Counselor | 4933 Wabash St, Metairie, LA 70001-1031 | 2016-09-28 |
| 1831648005 | Stephen Charles Kessler | Counselor | 4933 Wabash St, Metairie, LA 70001-1031 | 2016-09-28 |
| 1306020698 | Biobehavioral Medicine Company, LLC | Psychiatry & Neurology | 4933 Wabash St, Metairie, LA 70001-1031 | 2007-12-21 |
| 1831314905 | James Alfred Chiverton | Internal Medicine | 4933 Wabash St, Metairie, LA 70001-1031 | 2007-04-16 |
| 1194893198 | Barbara Denais Smith | Internal Medicine | 4933 Wabash St, Metairie, LA 70001-1031 | 2006-11-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417573361 | Maria Ann Sands | Social Worker | 2301 Edenborn Avenue, Unit 1002, Metairie, LA 70001 | 2020-06-17 |
| 1104455401 | Grace Elizabeth Beck Coburn | Dentist | 3100 Galleria, Suite 206, Metairie, LA 70001 | 2020-04-07 |
| 1295384709 | Lotus Counseling Center | Counselor | 1 Galleria Blvd, Ste 1900, #1903, Metairie, LA 70001 | 2019-09-06 |
| 1255812160 | Keyota Andrea Russell | Non-emergency Medical Transport (VAN) | 2408 Houma Blvd Apt 315, Metairie, LA 70001 | 2018-08-28 |
| 1184116204 | Benjamin Guidry Md, LLC | Ophthalmology | 4720 S I 10 Service Rd W Ste 410, Metairie, LA 70001 | 2018-06-04 |
| 1700382207 | Kalah Mackenzie Arnett | Student in an Organized Health Care Education/Training Program | 4740 So. I-10 Service Rd., Suite 120, Metairie, LA 70001 | 2018-04-03 |
| 1396240974 | Saba Farooq | Student in an Organized Health Care Education/Training Program | 4740 So. I-10 Service Rd., Suite 120, Metairie, LA 70001 | 2018-03-27 |
| 1427559046 | Ambulatory Care Specialists of New Orleans | Clinic/Center | 2520 Harvard Ave Ste 2a, Metairie, LA 70001 | 2018-02-28 |
| 1023527165 | Jessica Jones | Social Worker | 3616 South I-10 Service Road W, Metairie, LA 70001 | 2017-09-20 |
| 1033633979 | Priscilla Williams | Counselor | 2325 Pasadena Ave, Apt. K, Metairie, LA 70001 | 2017-08-02 |
| Find all providers in zip 70001 | ||||
| Taxonomy Code | 324500000X |
| Grouping | Residential Treatment Facilities |
| Classification | Substance Abuse Rehabilitation Facility |
| A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. |
| Notes: [7/1/2003: modified title, modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518424258 | Lake Wellness Center, LLC | Substance Abuse Rehabilitation Facility | 4330 Loveland St Ste A, Metairie, LA 70006-4179 | 2019-03-01 |
| 1801256938 | Townsend Treatment Center, LLC | Substance Abuse Rehabilitation Facility | 4330 Loveland St, Ste. A, Metairie, LA 70006 | 2016-03-02 |
| 1114924859 | Addiction Recovery Resources of New Orleans | Substance Abuse Rehabilitation Facility | 4836 Wabash St, Suite 202, Metairie, LA 70001-6717 | 2005-07-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720690811 | Elevate Recovery Project, LLC | Substance Abuse Rehabilitation Facility | 7742 Office Park Blvd Ste C2, Baton Rouge, LA 70809-8636 | 2020-08-19 |
| 1073122420 | Second Chances Recovery Center LLC | Substance Abuse Rehabilitation Facility | 161 Coumeaux Road, Rayville, LA 71269 | 2020-07-30 |
| 1215550736 | Cataldie Publishing LLC | Substance Abuse Rehabilitation Facility | 349 Highway 61, Jackson, LA 70748-4218 | 2020-05-19 |
| 1952935983 | Broken Wings Recovery Center, LLC | Substance Abuse Rehabilitation Facility | 2869 New Monroe Road, Bastrop, LA 71220 | 2020-02-28 |
| 1881233419 | Addiction Solutions LLC | Substance Abuse Rehabilitation Facility | 216 Ouachita Ave Ste B, Monroe, LA 71201-8513 | 2019-12-30 |
| 1801430962 | Baton Rouge Recovery Health LLC | Substance Abuse Rehabilitation Facility | 3600 Florida Blvd Ste 4t, Baton Rouge, LA 70806-3842 | 2019-11-01 |
| 1134788797 | Odyssey House Louisiana, Inc | Substance Abuse Rehabilitation Facility | 2700 S. Broad St, New Orleans, LA 70125 | 2019-06-07 |
| 1346707080 | Lake Wellness Center, LLC | Substance Abuse Rehabilitation Facility | 7434 Picardy Ave Ste A&b, Baton Rouge, LA 70808-7204 | 2019-03-01 |
| 1528525268 | Lake Wellness Center, LLC | Substance Abuse Rehabilitation Facility | 4540 Ambassador Caffery Pkwy Ste C110, Lafayette, LA 70508-6937 | 2019-03-01 |
| 1588134985 | Whispering Oaks Lodge | Substance Abuse Rehabilitation Facility | 910 Pierremont Rd Ste 103, Shreveport, LA 71106-2058 | 2018-11-28 |
| Find all providers with the same taxonomy | ||||
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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.