Advanced Personal Care Services, Inc.
Organization Active NPI Developmentally Disabled Services Day Training Agency · Gretna, LA
NPI 1003024712 · NPPES record last updated Dec 9, 2024
Key facts
- NPI
- 1003024712
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Developmentally Disabled Services Day Training Agency 251C00000X
- License
- PCA12187 (LA)
- Legal business name
- ADVANCED PERSONAL CARE SERVICES, INC.
- Practice address
- 1800 Carol Sue Ave Ste 6
Gretna, LA 70056-4124 - Phone
- (504) 227-0773
- Fax
- (504) 227-0715
- NPI assigned
- May 18, 2007
- Organization subpart
- No
Authorized official
- Name
- Mrs. Deatra Monique Matthews
- Title
- Ceo
- Phone
- (504) 227-0773
Corporate family (same tax ID) 4
National Provider Directory
- Tax ID family
- Advanced Personal Care Services Inc
Locations
1800 Carol Sue Ave
Ste 6
Gretna, LA 70056
Phone (504) 227-0773
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Developmentally Disabled Services Day Training Agency | 251C00000X | PCA12187 | LA | Yes |
| Home Health Agency | 251E00000X |
Addresses
Primary practice location
1800 Carol Sue Ave Ste 6
Gretna, LA 70056-4124
Mailing address
1800 Carol Sue Ave Ste 6
Gretna, LA 70056-4124
Phone (504) 227-0773
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1722723 | Medicaid | LA |
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All providers in Gretna, LA · Developmentally Disabled Services Day Training Agency in Louisiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 9, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.