Certicare, Inc.

LBN: Certicare, Inc.
Certicare, Inc. is an health care organization with primary practice located at 3018 Old Minden Rd 1110, Bossier City LA 71112-2446. The organization recently has only one registered license in Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities, which is considered as the primary health care specialty. Certicare, Inc. can be contacted via phone (318) 742-4510, or through Douglas, Michael D via phone (318) 255-1077.

Contact Information

Primary practice address
3018 Old Minden Rd 1110 Bossier City LA 71112-2446
Phone: (318) 742-4510
Fax: (318) 742-4096
Website:
Map and Directions
Authorized official contact:
Name: Douglas, Michael D
Phone: (318) 255-1077

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 320600000X

Profile Details

NPI number 1457537169
LBN Legal business name Certicare, Inc.
DBA Doing business as
Authorized official Douglas, Michael D
Entity Organization
Organization subpart 1 No
Enumeration date Jan 11th, 2008
Last updated Feb 6th, 2008 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1457537169 NPPES
Louisiana MEDICAID 1784613

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