Provider Demographics
NPI:1518365337
Name:KIPP NEW ORLEANS, INC.
Entity Type:Organization
Organization Name:KIPP NEW ORLEANS, INC.
Other - Org Name:KIPP EAST COMMUNITY PRIMARY
Other - Org Type:Other Name
Authorized Official - Title/Position:MANAGING DIRECTOR OF FINANCE
Authorized Official - Prefix:
Authorized Official - First Name:BRAD
Authorized Official - Middle Name:
Authorized Official - Last Name:ROSENBLAT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:504-335-1935
Mailing Address - Street 1:1307 ORETHA CASTLE HALEY BLVD
Mailing Address - Street 2:SUITE 302
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70113-1256
Mailing Address - Country:US
Mailing Address - Phone:504-335-1935
Mailing Address - Fax:
Practice Address - Street 1:5500 PIETY DR
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70126-2308
Practice Address - Country:US
Practice Address - Phone:504-335-1935
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-12-10
Last Update Date:2017-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA2384821Medicaid