Mission Improve Care Addiction Housing Inc.

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

License

1257 Issued in LA

Legal business name

MISSION IMPROVE CARE ADDICTION HOUSING INC.

Practice address

10086 Pine Orchard Rd
Shreveport, LA 71129-8784

Phone

(318) 938-5679

Fax

(318) 938-5679

NPI assigned

Oct 5, 2015

Organization subpart

No

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

Authorized official

Name

Florine Kessee Samuels

Title

Administrator

Phone

(318) 938-5679

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1444003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529452800000",
    "number": "1740650647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10086 PINE ORCHARD RD",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711298784",
            "telephone_number": "318-938-5679",
            "fax_number": "318-938-5679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10086 PINE ORCHARD RD",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711298784",
            "telephone_number": "318-938-5679",
            "fax_number": "318-938-5679"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MISSION IMPROVE CARE ADDICTION HOUSING INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-05",
        "last_updated": "2018-06-20",
        "status": "A",
        "authorized_official_last_name": "SAMUELS",
        "authorized_official_first_name": "FLORINE",
        "authorized_official_middle_name": "KESSEE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "318-938-5679"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "LA",
            "license": "1257",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mirandas Transportation
• Vivian Elizabeth Mire, MD
• Mansour Mirfakhraee, MD
• Rusella Mirza, MD, PHD
• Praphul Misra, M.D.
• Laura Ashley Mitcham, MD
• Rochelle F Mitchel, LPC
• Acquiria M Mitchell
• Allegra M Mitchell
• Althea Mitchell

• Substance Abuse Rehabilitation Facility in Shreveport, LA
• Providers in Shreveport, LA by specialty
• Substance Abuse Rehabilitation Facility in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2018; 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.