Certicare Inc in Bossier City - Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities
Certicare Inc - NPI 1578762977
Certicare Inc is a Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities in Bossier City, Louisiana. Certicare Inc practices all healthcare services and medical treatments related to Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities. The NPI Number for Certicare Inc is 1578762977. The last update date is 2020-08-22.
Certicare Inc's current location address is 3018 Old Minden Rd Ste 1110, Bossier City, Louisiana. You can contact this provider via phone number 3187424510 and fax number 3187424096. The mailing address for Certicare Inc is 3018 Old Minden Rd Ste 1110, Bossier City, Louisiana. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Certicare Inc |
|---|---|
| Address | 3018 Old Minden Rd Ste 1110, Bossier City, Louisiana |
| Phone Number | 3187424510 |
| Fax Number | 3187424096 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Douglas Michael |
| Telephone Number | 3182551077 |
NPI Number Detail
| NPI Number | 1578762977 |
|---|---|
| Provider Enumeration Date | 2007-07-16 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 3018 Old Minden Rd Ste 1110 |
|---|---|
| City | Bossier City |
| State | Louisiana (LA) |
| Post Code | 711122446 |
| Phone Number | 3187424510 |
| Fax Number | 3187424096 |
Provider's Primary Taxonomy Detail
| Speciality | Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities |
|---|---|
| Taxonomy | 320900000X |
|
Definition: A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1773212 | LA | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Certicare Inc by the Centers for Medicare & Medicaid Services?
The Certicare Inc has been assigned the NPI (National Provider Identifier) 1578762977. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Certicare Inc is located?
The Certicare Inc is situated at the following address: 3018 Old Minden Rd Ste 1110, Bossier City, LA, 711122446.
What is Certicare Inc's specialized field of practice, and what is the corresponding taxonomy classification code?
The Certicare Inc's area of specialization is Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities, and the corresponding taxonomy code that categorizes this field of practice is 320900000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1578762977 to Certicare Inc?
The Centers for Medicare & Medicaid Services assigned the 1578762977 to Certicare Inc on 2007-07-16.
When was the Certicare Inc's information last updated?
The Certicare Inc's information was last updated on 2020-08-22.