Provider Demographics
NPI:1790069094
Name:KIPP NEW ORLEANS INC
Entity Type:Organization
Organization Name:KIPP NEW ORLEANS INC
Other - Org Name:KIPP LEADERSHIP PRIMARY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGING DIRECTOR OF FINANCE
Authorized Official - Prefix:MR
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
Mailing Address - Country:US
Mailing Address - Phone:504-335-1935
Mailing Address - Fax:
Practice Address - Street 1:3200 ST. CLAUDE AVENUE
Practice Address - Street 2:KIPP LEADERSHIP PRIMARY
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70117
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:2011-10-05
Last Update Date:2017-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LARN112261251300000X
LA251300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)