NPIMap

Organization Active NPI

Care and Development Center Inc

Doing business as same as above

  • Health Maintenance Organization
  • Jefferson, LA
National Provider Identifier
1780850156
Registry record updated May 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Maintenance OrganizationTaxonomy code 302R00000X
License
1460044 Issued in LA
Legal business name
CARE AND DEVELOPMENT CENTER INC
Doing business as
same as above
Practice address
827 Causeway Blvd
827 South Causeway
Jefferson, LA 70121-2738
Phone
(504) 833-8383
Fax
(504) 833-0983
NPI assigned
May 5, 2008
Organization subpart
Yes
Parent organization
SAME AS ABOVEAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 5, 2008

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

Authorized official

Name
Mr. Gilbert R Charles III
Title
Ceo
Phone
(504) 833-8383

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Maintenance Organization 302R00000X 1460044 LA Primary

Addresses

Primary practice location

827 Causeway Blvd
827 South Causeway
Jefferson, LA 70121-2738

Mailing address

827 Causeway Blvd
827 South Causeway
Jefferson, LA 70121-2738
Phone (504) 833-8383

Other identifiers 1

IdentifierTypeStateIssuer
1460044MedicaidLA

Other names 1

  • same as above Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Care Development Center Inc4 organizations share this tax ID, including this one
Part of
Care Development Center Inc

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

827 Causeway Blvd
#827S
Jefferson, LA 70121
Phone (504) 833-8383

NPI Registry JSON

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

{
    "created_epoch": "1209945600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209945600000",
    "number": "1780850156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "827 CAUSEWAY BLVD",
            "address_2": "827 SOUTH CAUSEWAY",
            "city": "JEFFERSON",
            "state": "LA",
            "postal_code": "701212738",
            "telephone_number": "504-833-8383",
            "fax_number": "504-833-0983"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "827 CAUSEWAY BLVD",
            "address_2": "827 SOUTH CAUSEWAY",
            "city": "JEFFERSON",
            "state": "LA",
            "postal_code": "701212738",
            "telephone_number": "504-833-8383",
            "fax_number": "504-833-0983"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARE AND DEVELOPMENT CENTER INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SAME AS ABOVE",
        "enumeration_date": "2008-05-05",
        "last_updated": "2008-05-05",
        "status": "A",
        "authorized_official_last_name": "CHARLES",
        "authorized_official_first_name": "GILBERT",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "504-833-8383",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "III"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "LA",
            "license": "1460044",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1460044",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "same as above",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Jefferson, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2008; 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.