Shawn Dwayne Bailey Jr.
Individual provider Active NPI Case Manager/Care Coordinator · La Place, LA
NPI 1548833932 · NPPES record last updated Jul 22, 2021
Key facts
- NPI
- 1548833932
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Case Manager/Care Coordinator 171M00000X
- Practice address
- 1708 Chantilly Dr
La Place, LA 70068-2446 - Phone
- (985) 651-4612
- NPI assigned
- Jul 22, 2021
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| HHS Behavioral Healthcare, Inc | Current |
Accepting new patients |
Locations
1708 Chantilly Dr
Ste B
La Place, LA 70068
Phone (985) 651-4612
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | Yes |
Addresses
Primary practice location
1708 Chantilly Dr
La Place, LA 70068-2446
Mailing address
1708 Chantilly Dr Ste B
La Place, LA 70068-2446
Phone (925) 651-4612
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| BH001207 | Medicaid | LA |
Other providers in La Place, LA
- B and R Healthcare, LLC
- B&Rhealthcare&Transportation,LLC
- Colin G Bailey
- Kim Charles Bailey
- Leonna De'Sha Shanerria Bailey
- Veda Bailey
- Sheryl Ann Banks
- Danyell Baptiste
- John S Barrett
- Olivia Paulette Kendrick Bartholomew
All providers in La Place, LA · Case Manager/Care Coordinator 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 22, 2021. 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.