Provider Demographics
NPI:1336506955
Name:CARVER COLLEGIATE ACADEMY
Entity Type:Organization
Organization Name:CARVER COLLEGIATE ACADEMY
Other - Org Name:NEW ORLEANS CHARTER AND SCIENCE MATH ACADEMY
Other - Org Type:Other Name
Authorized Official - Title/Position:CHIEF OF STAFF
Authorized Official - Prefix:
Authorized Official - First Name:RILEY
Authorized Official - Middle Name:
Authorized Official - Last Name:KENNEDY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:504-390-6353
Mailing Address - Street 1:5552 READ BLVD
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70127-3143
Mailing Address - Country:US
Mailing Address - Phone:504-390-6353
Mailing Address - Fax:
Practice Address - Street 1:5552 READ BLVD
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70127-3143
Practice Address - Country:US
Practice Address - Phone:504-390-6353
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:COLLEGIATE ACADEMIES
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2016-01-27
Last Update Date:2016-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA382002251300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)