MEDICARE: SANKOFA CENTER, INC

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	104100000X	Social Worker	3184	LA

General Provider Information

NPI Number	:	1275872699
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SANKOFA CENTER, INC

Provider Business Mailing Address
First Line	:	1610 ROBERT E. LEE BLVD
Second Line	:
City	:	NEW ORLEANS
State	:	LA
Zip	:	70122
Country	:	US
Telephone Number	:	504-382-6538
Fax Number	:	504-282-0145

Provider Business Practice Location Address
First Line	:	1610 ROBERT E. LEE BLVD.
Second Line	:
City	:	NEW ORLEANS
State	:	LA
Zip	:	70122-2862
Country	:	US
Telephone Number	:	504-382-6538
Fax Number	:	504-282-0145

Authorized Official
Title or Position	:	EXECUTIVE DIRECTOR
Name	:	MR. LARRY JOHN HAYES SR.
Credential	:	LCSW
Telephone Number	:	504-382-6538

Provider Enumeration Date	:	02/05/2013
Last Update Date	:	02/05/2013

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:

1558670711 — MRS. MONICA W SMITH M.C.D., CCC-SP
Practice Location Address:

923 NAPOLEON AVE
NEW ORLEANS, LA
70115-2862

Practice Phone: 504-891-5509
Practice Fax: 504-895-1225

1962711168 — MS. SUZIE FOWLER M.A.T., C.C.C.
Practice Location Address:

923 NAPOLEON AVE
NEW ORLEANS, LA
70115-2862

Practice Phone: 504-891-5509
Practice Fax: 504-895-1225

1013682152 — MISS JENA MICHELLE VIZZINI MCD, CF-SLP
Practice Location Address:

923 NAPOLEON AVE
NEW ORLEANS, LA
70115-2862

Practice Phone: 504-891-5509
Practice Fax:

1700970696 — MRS. EILEEN S WOLTMAN LCSW
Practice Location Address:

2862 FOXWOOD DR
NEW LENOX, IL
60451-8546

Practice Phone: 708-320-8062
Practice Fax:

1912256280 — MATHURIN JUSTE NGAKO
Practice Location Address:

6733 NEW HAMPSHIRE AVE APT 1205
TAKOMA PARK, MD
20912-2862

Practice Phone: 240-750-7769
Practice Fax:

Directions to “SANKOFA CENTER, INC ” 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.