Crimson Oak Personal Care LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

License

2203781054 Issued in LA

Legal business name

CRIMSON OAK PERSONAL CARE LLC

Practice address

3519 Patrick St
Suite151
Lake Charles, LA 70605-1748

Phone

(337) 478-0497

Fax

(337) 478-0498

NPI assigned

May 8, 2012

Organization subpart

No

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

Authorized official

Name

Mr. Jerry Jones

Title

Owner

Phone

(337) 478-0497

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1336435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1336435200000",
    "number": "1710246095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "419 HIGHWAY 384",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706078931",
            "telephone_number": "337-478-0497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3519 PATRICK ST",
            "address_2": "SUITE151",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706051748",
            "telephone_number": "337-478-0497",
            "fax_number": "337-478-0498"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRIMSON OAK PERSONAL CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-08",
        "last_updated": "2012-05-08",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "JERRY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "337-478-0497",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "LA",
            "license": "2203781054",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patrick Mark Crawford Jr., M.D.
• Michael Dale Creasman, CRNA
• Brian James Credeur, N.P.
• Amanda B Creel
• Suzanne Creel, L.C.S.W.
• Jessica Crochet
• Nicholas J Cronan, PT
• Rebecca Sue Mumm Cronan, OD
• Joseph William Crookshank III, M.D.
• Megan Cross

• In Home Supportive Care Agency in Lake Charles, LA
• Providers in Lake Charles, LA by specialty
• In Home Supportive Care Agency in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2012; 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.