Tumblin, Casandra Kimberlain

Tumblin, Casandra Kimberlain is an sole proprietor health care provider with primary practice located at 1805 Virginian Colony Ave , La Place LA 70068-2843. She recently has 2 registered licenses in different health care specialties including Nursing Service Related Providers / Personal Care Attendant, Nursing & Custodial Care Facilities / Adult Care Home. Nursing Service Related Providers / Personal Care Attendant is her primary health care specialty. Tumblin, Casandra Kimberlain can be contacted via phone (985) 210-3358.

Contact Information

Primary practice address
1805 Virginian Colony Ave La Place LA 70068-2843
Phone: (985) 210-3358
Fax: (985) 653-8494
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Personal Care Attendant 3747P1801X
Nursing & Custodial Care Facilities / Adult Care Home 311ZA0620X 005181316 Louisiana

Profile Details

NPI number 1922151091
LBN Legal business name Tumblin, Casandra Kimberlain
Credentials Bachelor of Arts (BA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 19th, 2007
Last updated May 22nd, 2008 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1922151091 NPPES
Louisiana MEDICAID 1922151091

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