NPIMap

Organization Active NPI

Special Care Services of Louisiana

  • Exclusive Provider Organization
  • St. Joseph, LA
National Provider Identifier
1114109378
Registry record updated Nov 29, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Exclusive Provider OrganizationTaxonomy code 302F00000X
License
PCA 14025 Issued in LA
Legal business name
SPECIAL CARE SERVICES OF LOUISIANA
Practice address
128 Plank Rd
St. Joseph, LA 71366
Phone
(318) 766-9396
Fax
(318) 766-9499
NPI assigned
Nov 29, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Stephanie Lamb Roach, MBA
Title
Owner, Director
Phone
(225) 278-8375

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Exclusive Provider Organization 302F00000X PCA 14025 LA Primary

Addresses

Primary practice location

128 Plank Rd
St. Joseph, LA 71366

Mailing address

2142 Oneal LN
Suite 307
Baton Rouge, LA 70816-3205
Phone (225) 278-8375

Other identifiers 1

IdentifierTypeStateIssuer
1009652MedicaidLA

Other names 1

  • Precision Caregivers Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Precision Caregivers16 organizations share this tax ID, including this one

Other organizations with this tax ID 15

Organizations that report the same tax identification number in the National Provider Directory.

View all 15

Locations

1401 Hudson Ln
Ste 135
Monroe, LA 71201
Phone (318) 651-0086

128 Plank Rd
St. Joseph, LA 71366
Phone (318) 766-9396

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1196294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196294400000",
    "number": "1114109378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2142 ONEAL LN",
            "address_2": "SUITE 307",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708163205",
            "telephone_number": "225-278-8375",
            "fax_number": "225-275-3251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "128 PLANK RD",
            "city": "ST. JOSEPH",
            "state": "LA",
            "postal_code": "71366",
            "telephone_number": "318-766-9396",
            "fax_number": "318-766-9499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPECIAL CARE SERVICES OF LOUISIANA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-29",
        "last_updated": "2007-11-29",
        "status": "A",
        "authorized_official_last_name": "ROACH",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_middle_name": "LAMB",
        "authorized_official_title_or_position": "OWNER, DIRECTOR",
        "authorized_official_telephone_number": "225-278-8375",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": "LA",
            "license": "PCA 14025",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1009652",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Precision Caregivers",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in St. Joseph, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.