Active NPI
Total Divine Care LLC
- Community/Behavioral Health Agency
- Bastrop, LA
National Provider Identifier
1386179307
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- TOTAL DIVINE CARE LLC
- Practice address
- 1840 North Washington Street
Bastrop, LA 71220 - Phone
- (318) 283-1010
- NPI assigned
- Apr 27, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Arielle McNeal
- Title
- Owner
- Phone
- (318) 267-5190
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | Primary |
Addresses
Primary practice location
1840 North Washington Street
Bastrop, LA 71220
Mailing address
1840 North Washington Street
Bastrop, LA 71220
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 251S00000X | Medicaid | LA |
National Provider Directory
National Provider DirectoryLocations
1840 N Washington St
Bastrop, LA 71220
Phone (318) 283-1010
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1493251200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1493251200000",
"number": "1386179307",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1840 NORTH WASHINGTON STREET",
"city": "BASTROP",
"state": "LA",
"postal_code": "71220"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1840 NORTH WASHINGTON STREET",
"city": "BASTROP",
"state": "LA",
"postal_code": "71220",
"telephone_number": "318-283-1010"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TOTAL DIVINE CARE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2017-04-27",
"last_updated": "2017-04-27",
"status": "A",
"authorized_official_last_name": "MCNEAL",
"authorized_official_first_name": "ARIELLE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "318-267-5190"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "251S00000X",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bastrop, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.