NPIMap

Organization Active NPI

Cognitive Development Center Personal Care Services

  • Nursing Care Agency
  • Monroe, LA
National Provider Identifier
1629145628
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Care AgencyTaxonomy code 251J00000X
Legal business name
COGNITIVE DEVELOPMENT CENTER PERSONAL CARE SERVICES
Practice address
1811 Roselawn Ave
Monroe, LA 71201-5433
Phone
(318) 651-8079
NPI assigned
Nov 29, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Adrian Fisher
Title
Director
Phone
(318) 651-8079

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Care Agency 251J00000X Primary

Addresses

Primary practice location

1811 Roselawn Ave
Monroe, LA 71201-5433

Mailing address

PO Box 7563
Monroe, LA 71211-7563

Other identifiers 1

IdentifierTypeStateIssuer
1476943MedicaidLA

National Provider Directory

National Provider Directory
Tax ID family
Cognitive Development Center8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

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": "1164758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1629145628",
    "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"
        },
        {
            "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": "318-651-8079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COGNITIVE DEVELOPMENT CENTER PERSONAL CARE SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FISHER",
        "authorized_official_first_name": "ADRIAN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "318-651-8079",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1476943",
            "state": "LA"
        }
    ],
    "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 Aug 22, 2020; 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.