Healthcare Provider Details

I. General information

NPI: 1336067859
Provider Name (Legal Business Name): ALLIED HEALTH MANAGEMENT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/10/2026
Last Update Date: 07/11/2026
Certification Date: 07/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3535 RILEY ST STE 203
BATON ROUGE LA
70805-2746
US

IV. Provider business mailing address

10839 N RIDGE DR
BATON ROUGE LA
70811-1758
US

V. Phone/Fax

Practice location:
  • Phone: 833-444-8500
  • Fax: 225-208-1268
Mailing address:
  • Phone: 225-320-8090
  • Fax: 225-208-1268

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code163WC0400X
TaxonomyCase Management Registered Nurse
License Number
License Number StateNULL
# 3
Primary TaxonomyN
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number StateNULL

VIII. Authorized Official

Name: KISHA WILLIAMS JAMES
Title or Position: CREDENTIALING SPECIALIST
Credential:
Phone: 833-444-8500