Angelic Sercives, Llc in Gonzales - Day Training, Developmentally Disabled Services
Angelic Sercives, Llc - NPI 1093910168
Angelic Sercives, Llc is a Day Training, Developmentally Disabled Services in Gonzales, Louisiana. Angelic Sercives, Llc practices all healthcare services and medical treatments related to Day Training, Developmentally Disabled Services. The NPI Number for Angelic Sercives, Llc is 1093910168. The last update date is 2009-07-27.
Angelic Sercives, Llc's current location address is 14046 Airline Highway, Gonzales, Louisiana. You can contact this provider via phone number 2256442326 and fax number 2256474754. The mailing address for Angelic Sercives, Llc is 14046 Airline Highway, Gonzales, Louisiana. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Angelic Sercives, Llc |
|---|---|
| Address | 14046 Airline Highway, Gonzales, Louisiana |
| Phone Number | 2256442326 |
| Fax Number | 2256474754 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CEO,ADM. |
|---|---|
| Authorized Official Name | Simon Ann Patricia |
| Credentials | RN,MPH |
| Telephone Number | 2256442326 |
NPI Number Detail
| NPI Number | 1093910168 |
|---|---|
| Provider Enumeration Date | 2007-06-19 |
| Last Updated Date | 2009-07-27 |
Provider Mailing Address Detail
| Address | 14046 Airline Highway |
|---|---|
| City | Gonzales |
| State | Louisiana (LA) |
| Post Code | 70737 |
| Phone Number | 2256442326 |
| Fax Number | 2256474754 |
Provider's Primary Taxonomy Detail
| Speciality | Day Training, Developmentally Disabled Services |
|---|---|
| Taxonomy | 251C00000X |
| Licence No | 9121 |
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Definition: These agencies are authorized to provide day habilitation services to developmentally disabled individuals who live in their homes. The function of day habilitation is to assist an individual to acquire and maintain those life skills that enable the |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1172308 | LA | PERSONAL CARE ATTENDANT | |
| 1126187 | LA | ELDERLY DISABLED ADULTS | |
| 1145165 | LA | SUPERVISE INDEP. LIVING |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Angelic Sercives, Llc by the Centers for Medicare & Medicaid Services?
The Angelic Sercives, Llc has been assigned the NPI (National Provider Identifier) 1093910168 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Can you provide the Angelic Sercives, Llc's physical address?
The Angelic Sercives, Llc is physically located at 14046 Airline Highway, in the city of Gonzales, LA, with the postal code 70737.
What is Angelic Sercives, Llc's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Angelic Sercives, Llc is Day Training, Developmentally Disabled Services, and the taxonomy classification code that categorizes this area of expertise is 251C00000X.
On what date did the Angelic Sercives, Llc receive its 1093910168 assignment from the Centers for Medicare & Medicaid Services?
The Angelic Sercives, Llc was assigned its 1093910168 by the Centers for Medicare & Medicaid Services on 2007-06-19.
As of what date were the details related to Angelic Sercives, Llc most recently updated or revised?
The information pertaining to Angelic Sercives, Llc, including its address, specialty, and other relevant details, was last updated or revised on 2009-07-27.
NPI Number: 1336142389
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