MEDICARE: SIRI

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	315P00000X	Intellectual Disabilities Intermediate Care Facility
2	101YM0800X	Mental Health Counselor
3	343900000X	Non-emergency Medical Transport (VAN)

General Provider Information

NPI Number	:	1205992997
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SIRI

Provider Business Mailing Address
First Line	:	1722 SAINT PHILIP ST
Second Line	:
City	:	NEW ORLEANS
State	:	LA
Zip	:	70116-2117
Country	:	US
Telephone Number	:	504-220-8786
Fax Number	:	713-490-2683

Provider Business Practice Location Address
First Line	:	1721 SAINT PHILIP ST
Second Line	:
City	:	NEW ORLEANS
State	:	LA
Zip	:	70116-2116
Country	:	US
Telephone Number	:	504-220-8786
Fax Number	:	713-490-2683

Authorized Official
Title or Position	:	BOARD SECRETARY
Name	:	MS. TOBY CHALONE BRANDEN
Credential	:
Telephone Number	:	504-520-0125

Provider Enumeration Date	:	12/28/2006
Last Update Date	:	08/15/2008

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Directions to “SIRI ” Practice Location

Language	Start Address	Practice Location

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