Caroll Gorman-Spann
Individual provider Active NPI Personal Care Attendant · Laplace, LA
NPI 1497986236 · NPPES record last updated Jul 28, 2009
Key facts
- NPI
- 1497986236
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Personal Care Attendant 3747P1801X
- License
- PCA15259 (LA)
- Practice address
- #2 Dominican Rd.
Laplace, LA 70068 - Phone
- (985) 224-2391
- Fax
- (985) 224-2392
- NPI assigned
- Jul 28, 2009
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SIL20188 | LA | MD | Attendant Care Provider |
| PCA15259 | LA | MD | Personal Care Attendant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Attendant Care Provider | 3747A0650X | SIL20188 | LA | |
| Personal Care Attendant | 3747P1801X | PCA15259 | LA | Yes |
Addresses
Primary practice location
#2 Dominican Rd.
Laplace, LA 70068
Mailing address
P.O. Box 115
Loranger, LA 70446
Phone (985) 224-2391
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All providers in Laplace, LA · Personal Care Attendant in Louisiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 28, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.