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COGNITIVE DEVELOPMENT CENTER PERSONAL CARE SERVICES NPI 1629145628


NPI Information

NPI: 1629145628
Provider Name: COGNITIVE DEVELOPMENT CENTER PERSONAL CARE SERVICES
Classification: Nursing Care - 251J00000X
Entity Type: Organization
Address:
1811 ROSELAWN AVE
MONROE, LA
ZIP 71201
Phone: (318) 651-8079
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COGNITIVE DEVELOPMENT CENTER PERSONAL CARE SERVICES is a nursing care in Monroe, LA. The provider is a Nursing Care Agency is an entity that provides skilled nursing care through the services of a Registered Nurse (RN) or a Licensed Practical Nurse (LPN), by employees, contracted individuals, or via a registry, in a variety of settings. The agency may engage in providing private duty nursing and/or staffing services. COGNITIVE DEVELOPMENT CENTER PERSONAL CARE SERVICES NPI is 1629145628. The provider is registered as an organization entity type.

The provider's business location address is:

1811 ROSELAWN AVE
MONROE, LA
ZIP 71201-433
Phone: (318) 651-8079

The provider's authorized official is Adrian Fisher .
The authorized official title is Director and has the following contact phone number (318) 651-8079.

The enumeration date for this NPI number is 11/29/2006 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1251J00000XNursing CareYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11476943MEDICAIDLOUISIANA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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