Organization Active NPI

Total Divine Care LLC

  • Community/Behavioral Health Agency
  • Bastrop, LA
National Provider Identifier
1386179307
Registry record updated Apr 27, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
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

Updated by the provider on Apr 27, 2017

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
251S00000XMedicaidLA

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.