Certicare, Inc.

Primary specialty

Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X

Legal business name

CERTICARE, INC.

Practice address

3018 Old Minden Rd
1110
Bossier City, LA 71112-2446

Phone

(318) 742-4510

Fax

(318) 742-4096

NPI assigned

Jan 11, 2008

Organization subpart

No

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

Authorized official

Name

Mr. Michael D Douglas Sr.

Title

President/Ceo

Phone

(318) 255-1077

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Certicare Inc10 organizations share this tax ID, including this one

Other organizations with this tax ID 9

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

• Certicare Inc

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Ruston, LA
  • NPI 1578762977
  NPD tax ID
• Certicare, Inc

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Ruston, LA
  • NPI 1841499241
  NPD tax ID
• Certicare, Inc

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Ruston, LA
  • NPI 1932308335
  NPD tax ID
• Certicare, Inc

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Ruston, LA
  • NPI 1962697375
  NPD tax ID
• Certicare, Inc.

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Ruston, LA
  • NPI 1962692541
  NPD tax ID
• Certicare,Inc

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Ruston, LA
  • NPI 1114126513
  NPD tax ID
• Certicare,Inc

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Ruston, LA
  • NPI 1831398239
  NPD tax ID
• Certicare,Inc.

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Bossier City, LA
  • NPI 1467630475
  NPD tax ID
• Certicareinc

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Ruston, LA
  • NPI 1205995792
  NPD tax ID

Locations

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

{
    "created_epoch": "1200009600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202256000000",
    "number": "1457537169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 WEST ALABAMA AVE",
            "city": "RUSTON",
            "state": "LA",
            "postal_code": "71270",
            "telephone_number": "318-255-1077",
            "fax_number": "318-254-8250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3018 OLD MINDEN RD",
            "address_2": "1110",
            "city": "BOSSIER CITY",
            "state": "LA",
            "postal_code": "711122446",
            "telephone_number": "318-742-4510",
            "fax_number": "318-742-4096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CERTICARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-11",
        "last_updated": "2008-02-06",
        "status": "A",
        "authorized_official_last_name": "DOUGLAS",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "318-255-1077",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Sr."
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1784613",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jeremy J. Causey, PA-C
• Allison Cave
• Emily Cecil, FNP
• Center Point Pines Treatment Center
• Centerwell Senior Primary Care (la) PC
• Certicare,Inc.
• Karen Cervenka
• Casandra L Cesare, B.S., M.S.
• Adrienne Nicole Chambers
• Latasha Chambers

• All providers in Bossier City, LA
• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2008; 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.