Candice Boatner

Individual provider Active NPI Case Manager/Care Coordinator · Monroe, LA

NPI 1285277129 · NPPES record last updated Oct 23, 2019

Key facts

NPI
1285277129
Entity type
Individual (NPI type 1)
Primary specialty
Case Manager/Care Coordinator 171M00000X
Practice address
2404 Ferrand St Ste 24
Monroe, LA 71201-3233
Phone
(318) 323-1560
Fax
(318) 323-5682
NPI assigned
Oct 23, 2019
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
Ascend Hospice Care, LLC Past
since Oct 27, 2019
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X Yes

Addresses

Primary practice location

2404 Ferrand St Ste 24
Monroe, LA 71201-3233

Mailing address

2404 Ferrand St Ste 24
Monroe, LA 71201-3233
Phone (318) 323-1560

Other providers in Monroe, LA

All providers in Monroe, LA · Case Manager/Care Coordinator in Louisiana

Sources for this page

Verify at the official NPI Registry.