NPIMap

Organization Active NPI

Cognitive Development Ctr Personal Care Servies

  • In Home Supportive Care Agency
  • Monroe, LA
National Provider Identifier
1437554904
Registry record updated Oct 27, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
10839 Issued in LA
Legal business name
COGNITIVE DEVELOPMENT CTR PERSONAL CARE SERVIES
Practice address
1811 Roselawn Ave
Monroe, LA 71201-5433
Phone
(318) 651-8080
Fax
(318) 651-8081
NPI assigned
Oct 27, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2014

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

Authorized official

Name
Mr. Adrian Fisher, LPC
Title
Director
Phone
(318) 651-8080

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X 10839 LA Primary

Addresses

Primary practice location

1811 Roselawn Ave
Monroe, LA 71201-5433

Mailing address

PO Box 7563
Monroe, LA 71211-7563
Phone (318) 651-8080

National Provider Directory

National Provider Directory
Tax ID family
Cognitive Development Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

NPI Registry JSON

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

{
    "created_epoch": "1414368000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1414368000000",
    "number": "1437554904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7563",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712117563",
            "telephone_number": "318-651-8080",
            "fax_number": "318-651-8081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1811 ROSELAWN AVE",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712015433",
            "telephone_number": "318-651-8080",
            "fax_number": "318-651-8081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COGNITIVE DEVELOPMENT CTR PERSONAL CARE SERVIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-27",
        "last_updated": "2014-10-27",
        "status": "A",
        "authorized_official_last_name": "FISHER",
        "authorized_official_first_name": "ADRIAN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "318-651-8080",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "LA",
            "license": "10839",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroe, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2014; 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.