PENN 123 LLC
NPI 1144915786
Clinic/Center - Rehabilitation, Substance Use Disorder in Metairie, LA

Active since April 10, 2023
4933 WABASH ST, METAIRIE, LA 70001(504) 603-3060 Get Directions Write a Review

NPPES record last updated: April 10, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Penn 123 Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PENN 123 LLC (NPI 1144915786), doing business as Avenues Extended Care At Metairie, is a healthcare organization registered as a rehabilitation, substance use disorder in Metairie, Louisiana and active in the NPI registry since April 2023. The organization lists Yehuda Alter, Ceo, as its authorized official.

NPPES Registry Identity

NPI1144915786
Entity TypeOrganization
Primary Taxonomy261QR0405X
Legal Business NamePENN 123 LLC
Location Address4933 WABASH STMetairie, LA 70001-1031
Mailing Address211 Boulevard Of The Americas, Suite 503Lakewood, NJ 08701 · (732) 307-8000
Organization SubpartNo
Authorized OfficialYehuda AlterCeo · (732) 307-8000
Enumeration DateApril 10, 2023
NPPES CertifiedMarch 31, 2023
NPI 1144915786 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyClinic/Center · Rehabilitation, Substance Use DisorderAmbulatory Health Care Facilities
Taxonomy Code261QR0405X
Also ListedCommunity/Behavioral HealthTaxonomy 251S00000X
Also ListedSubstance Abuse Rehabilitation FacilityTaxonomy 324500000X
4933 WABASH ST, Metairie, LA 70001

Other Names 1

Doing Business AsAvenues Extended Care At Metairie

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Licensed Practical Nurse
4933 WABASH ST
METAIRIE, LA 70001
Nurse Practitioner (Family)
4933 WABASH ST
METAIRIE, LA 70001
Internal Medicine
4933 WABASH ST
METAIRIE, LA 70001
Nurse Practitioner (Psychiatric/Mental Health)
4933 WABASH ST
METAIRIE, LA 70001
Registered Nurse
4933 WABASH ST
METAIRIE, LA 70001
Internal Medicine (Addiction Medicine)
4933 WABASH ST
METAIRIE, LA 70001
Counselor (Mental Health)
4933 WABASH ST
METAIRIE, LA 70001
Clinic/Center
4933 WABASH ST
METAIRIE, LA 70001

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Penn 123 LLC's NPI number?

The NPI number for Penn 123 LLC is 1144915786. It was assigned to this organization in the NPPES registry on April 10, 2023. The provider is doing business as Avenues Extended Care at Metairie.

Where is Penn 123 LLC located?

Penn 123 LLC is located at 4933 Wabash St, Metairie, LA 70001. The listed phone number is (504) 603-3060.

What is Penn 123 LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rehabilitation, Substance Use Disorder, with taxonomy code 261QR0405X.

When was this NPI record last updated?

The NPPES record for Penn 123 LLC was last updated on April 10, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.