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
Suite 1110
Bossier City, LA 71112-2446

Phone

(318) 742-4510

Fax

(318) 742-4096

NPI assigned

Feb 1, 2008

Last updated

May 28, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Michael D Douglas Sr.

Title

President/Ceo

Phone

(318) 742-4510

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
  • Bossier City, LA
  • NPI 1457537169
  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
• Certicareinc

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

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

{
    "created_epoch": "1201824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211932800000",
    "number": "1467630475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3018 OLD MINDEN RD",
            "address_2": "SUITE 1110",
            "city": "BOSSIER CITY",
            "state": "LA",
            "postal_code": "711122446",
            "telephone_number": "318-742-4510",
            "fax_number": "318-742-4096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3018 OLD MINDEN RD",
            "address_2": "SUITE 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": "2008-02-01",
        "last_updated": "2008-05-28",
        "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": "318-742-4510",
        "authorized_official_name_suffix": "Sr."
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "LA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1029700",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Allison Cave
• Emily Cecil, FNP
• Center Point Pines Treatment Center
• Centerwell Senior Primary Care (la) PC (CenterWell Senior Primary Care-Bossier City)
• Certicare, Inc.
• Karen Cervenka
• Casandra L Cesare, B.S., M.S.
• Adrienne Nicole Chambers
• Latasha Chambers
• Winde R Chambers, DNP, APRN, FNP-BC

• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Bossier City, LA
• Providers in Bossier City, LA by specialty
• 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 May 28, 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.