Pearley Grimes

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

NPI 1306477435 · NPPES record last updated Jan 28, 2020

Key facts

NPI
1306477435
Entity type
Individual (NPI type 1)
Primary specialty
Case Manager/Care Coordinator 171M00000X
Practice address
114 Ineichen St Ste a
Rayville, LA 71269-3223
Phone
(318) 417-7780
Fax
(318) 728-1140
NPI assigned
Jan 28, 2020
Sex
Female
Sole proprietor
No

Organizations & group practices 2

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
Total Wellness Advocates Current
since Feb 2, 2020
Accepting new patients
Bold Horizons LLC Past Accepting new patients

Locations

114 Ineichen St
#A
Rayville, LA 71269
Phone (318) 417-7780

Specialties & licenses

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

Addresses

Primary practice location

114 Ineichen St Ste a
Rayville, LA 71269-3223

Mailing address

114 Ineichen St Ste a
Rayville, LA 71269-3223
Phone (318) 417-7780

Other providers in Rayville, LA

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

Sources for this page

Verify at the official NPI Registry.