MEDICARE: PRIDE COLLEGE PREPARATORY ACADEMY

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251300000X	Local Education Agency (LEA)

General Provider Information

NPI Number	:	1235403031
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PRIDE COLLEGE PREPARATORY ACADEMY

Provider Business Mailing Address
First Line	:	200 BROADWAY ST
Second Line	:	SUITE 108
City	:	NEW ORLEANS
State	:	LA
Zip	:	70118-3557
Country	:	US
Telephone Number	:	504-400-0614
Fax Number	:	888-711-0754

Provider Business Practice Location Address
First Line	:	200 BROADWAY ST
Second Line	:	SUITE 108
City	:	NEW ORLEANS
State	:	LA
Zip	:	70118-3557
Country	:	US
Telephone Number	:	504-400-0614
Fax Number	:	888-711-0754

Authorized Official
Title or Position	:	DIRECTOR OF FINANCE & OPERATIONS
Name	:	MISS SIMONE GREEN
Credential	:
Telephone Number	:	504-400-0614

Provider Enumeration Date	:	02/27/2012
Last Update Date	:	02/27/2012

Similar Medicare Providers

1346221660 — JUDITH HERTANU MD
Practice Location Address:

10 UNION SQ E , BETH ISRAEL MED CTR- DEPT OF REHAB MEDICARE
NEW YORK, NY
10003-3314

Practice Phone: 212-420-2757
Practice Fax:

1518059146 — DR. THERESA LYNN DISE MD
Practice Location Address:

200 BROADWAY ST , SUITE 230
NEW ORLEANS, LA
70118-3557

Practice Phone: 504-988-9000
Practice Fax: 504-988-9099

1750559076 — DR. JANIFER SHANELL TROPEZ M.D.
Practice Location Address:

200 BROADWAY ST
NEW ORLEANS, LA
70118-3557

Practice Phone: 504-988-9000
Practice Fax: 504-988-9099

1073818274 — CRESCENT CITY SCHOOLS
Practice Location Address:

200 BROADWAY ST , SUITE 108
NEW ORLEANS, LA
70118-3557

Practice Phone: 504-234-4528
Practice Fax:

1144720384 — MAVIS BROWN POWELLS
Practice Location Address:

5127 METROPOLITAN DR
NEW ORLEANS, LA
70126-3557

Practice Phone: 504-388-9218
Practice Fax:

1265441380 — JENNIFER J CARMAN MS LDN
Practice Location Address:

3557 STELTZ RD
NEW FREEDOM, PA
17349-9281

Practice Phone: 443-956-7227
Practice Fax:

Directions to “PRIDE COLLEGE PREPARATORY ACADEMY ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.