Certicare, Inc

LBN: Certicare, Inc
Certicare, Inc is an health care organization with primary practice located at 413 S Farmerville St , Ruston LA 71270-4654. 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) 255-1077, or through Douglas, Michael via phone (318) 255-1077.

Contact Information

Primary practice address
413 S Farmerville St Ruston LA 71270-4654
Phone: (318) 255-1077
Fax: (318) 254-8250
Website:
Map and Directions
Authorized official contact:
Name: Douglas, Michael
Phone: (318) 255-1077

Health care specialties

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

Profile Details

NPI number 1962697375
LBN Legal business name Certicare, Inc
DBA Doing business as
Authorized official Douglas, Michael
Entity Organization
Organization subpart 1 No
Enumeration date Sep 10th, 2007
Last updated Sep 10th, 2007 - about 18 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 1962697375 NPPES
Louisiana MEDICAID 1123609

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