Certicare, Inc

Primary specialty

Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X

Legal business name

CERTICARE, INC

Practice address

413 S Farmerville St
Ruston, LA 71270-4654

Phone

(318) 255-1077

Fax

(318) 254-8250

NPI assigned

Sep 10, 2007

Organization subpart

No

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

Authorized official

Name

Michael Douglas Sr.

Title

President/Ceo

Phone

(318) 255-1077

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Certicare Inc10 organizations share this tax ID, including this one

Other organizations with this tax ID 9

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

• Certicare Inc

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Ruston, LA
  • NPI 1578762977
  NPD tax ID
• Certicare, Inc

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Ruston, LA
  • NPI 1841499241
  NPD tax ID
• Certicare, Inc

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Ruston, LA
  • NPI 1932308335
  NPD tax ID
• Certicare, Inc.

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Bossier City, LA
  • NPI 1457537169
  NPD tax ID
• Certicare, Inc.

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Ruston, LA
  • NPI 1962692541
  NPD tax ID
• Certicare,Inc

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Ruston, LA
  • NPI 1114126513
  NPD tax ID
• Certicare,Inc

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Ruston, LA
  • NPI 1831398239
  NPD tax ID
• Certicare,Inc.

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Bossier City, LA
  • NPI 1467630475
  NPD tax ID
• Certicareinc

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Ruston, LA
  • NPI 1205995792
  NPD tax ID

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

{
    "created_epoch": "1189382400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189382400000",
    "number": "1962697375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "413 S FARMERVILLE ST",
            "city": "RUSTON",
            "state": "LA",
            "postal_code": "712704654",
            "telephone_number": "318-255-1077",
            "fax_number": "318-254-8250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "413 S FARMERVILLE ST",
            "city": "RUSTON",
            "state": "LA",
            "postal_code": "712704654",
            "telephone_number": "318-255-1077",
            "fax_number": "318-254-8250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CERTICARE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-10",
        "last_updated": "2007-09-10",
        "status": "A",
        "authorized_official_last_name": "DOUGLAS",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "318-255-1077",
        "authorized_official_name_suffix": "Sr."
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "LA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1123609",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Connor Catron
• Center for Counseling and Psychological Resources
• Certicare Inc
• Certicare, Inc
• Certicare, Inc
• Certicare, Inc.
• Certicare,Inc
• Certicare,Inc
• Certicareinc
• Omar Chaabo, MD

• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Ruston, LA
• Providers in Ruston, LA by specialty
• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2007; 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.