Provider Demographics
NPI:1902925852
Name:VOLUNTEERS OF AMERICA
Entity Type:Organization
Organization Name:VOLUNTEERS OF AMERICA
Other - Org Name:SPECIAL SERVICES
Other - Org Type:Other Name
Authorized Official - Title/Position:PRESIDENT AND CEO
Authorized Official - Prefix:
Authorized Official - First Name:JANE
Authorized Official - Middle Name:
Authorized Official - Last Name:SHANK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:225-387-0061
Mailing Address - Street 1:3949 NORTH BLVD
Mailing Address - Street 2:
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70806-3827
Mailing Address - Country:US
Mailing Address - Phone:225-387-0061
Mailing Address - Fax:
Practice Address - Street 1:1755 WOODDALE BLVD
Practice Address - Street 2:
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70806-1508
Practice Address - Country:US
Practice Address - Phone:225-922-3900
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-29
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LACM 2423251B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management
Provider Identifiers
StateIdentifier IDID TypeIssuer
LACM 2423Medicaid
LA1547051Medicaid