FIT FOR LIFE MINISTRIES INC (NPI# 1003271479) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003271479 |
| Entity Type | Organization |
| Organization Name | FIT FOR LIFE MINISTRIES INC |
| Other Organization Name | N/A |
| Practice Address |
600 Common St Shreveport LA 71101-3432 |
| Practice Telephone | 3183472208 |
| Mailing Telephone | 3183472208 |
| Enumeration Date | 2015-12-29 |
| Last Update Date | 2015-12-29 |
| Authorized Official Name | MR. ROBERT E BLOUNT (PRESIDENT) |
| Authorized Official Telephone | 3183472208 |
| Authorized Official Credential | PROFESSIONAL TRA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 172V00000X | Community Health Worker | ========= | LA | Other Service Providers |
| Other Name | Type Code |
|---|---|
| N/A | Doing Business As Name - Organization |
| Street Address |
600 COMMON ST |
| City | SHREVEPORT |
| State | LA |
| Zip Code | 71101-3432 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528394368 | Robert Earl Blount | Community Health Worker | 600 Common St, Shreveport, LA 71101-3432 | 2009-10-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255988630 | Renee Jewitt | Case Manager/Care Coordinator | 1513 Line Avenue, Suite 225, Shreveport, LA 71101 | 2019-08-21 |
| 1942770094 | Bessie Larry | Case Manager/Care Coordinator | 1513 Line Av, 222, Shreveport, LA 71101 | 2018-12-03 |
| 1750875944 | Jarvis Decarleonne Larry | Community Health Worker | 1513 Line Ave # 222, Shreveport, LA 71101 | 2018-06-20 |
| 1871083485 | Kimberly B. Mcclelland, Lcsw | Counselor | 820 Jordan St. Ste 510w, Shreveport, LA 71101 | 2018-05-18 |
| 1982106456 | Hudson Amc LLC | Internal Medicine | 1800 Irving Place, Shreveport, LA 71101 | 2018-03-01 |
| 1528572955 | Spencer Ron Floyd | Counselor | 1717 Marshall Street, Shreveport, LA 71101 | 2017-11-21 |
| 1578088076 | Brittany Morris | Case Manager/Care Coordinator | 1835 Spring Street Annex Building, Shreveport, LA 71101 | 2017-08-07 |
| 1275058794 | Diane Williams | Case Manager/Care Coordinator | 217 Jones St Apt 510, Shreveport, LA 71101 | 2017-08-04 |
| 1386195972 | Jakeya Woodbury | Counselor | 453 Stoner Ave, Shreveport, LA 71101 | 2016-10-18 |
| 1922459643 | Arlene Huling | Counselor | 449 Egan Street, Shreveport, LA 71101 | 2016-06-23 |
| Find all providers in zip 71101 | ||||
| Taxonomy Code | 172V00000X |
| Grouping | Other Service Providers |
| Classification | Community Health Worker |
| Community health workers (CHW) are lay members of communities who work either for pay or as volunteers in association with the local health care system in both urban and rural environments and usually share ethnicity, language, socioeconomic status and life experiences with the community members they serve. They have been identified by many titles such as community health advisors, lay health advocates, "promotores(as), outreach educators, community health representatives, peer health promoters, and peer health educators. CHWs offer interpretation and translation services, provide culturally appropriate health education and information, assist people in receiving the care they need, give informal counseling and guidance on health behaviors, advocate for individual and community health needs, and provide some direct services such as first aid and blood pressure screening. Some examples of these practitioners are Community Health Aides or Practitioners established under 25 USC §1616 (l) under HHS, Indian Health Service, Public Health Service. |
| Notes: Source: Health Resources and Services Administration, US Department of Health and Human Services – National Workforce Study on Community Health Workers, March, 2007. [7/1/2007: new] http://bhpr.hrsa.gov/healthworkforce/chw/ |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750875944 | Jarvis Decarleonne Larry | Community Health Worker | 1513 Line Ave # 222, Shreveport, LA 71101 | 2018-06-20 |
| 1295246940 | Lashatte Deaquanita Allen | Community Health Worker | 9245 Wallace Lake Rd, Shreveport, LA 71106-7331 | 2017-10-21 |
| 1245649953 | Dionne Williams | Community Health Worker | 435 E 71st St, Shreveport, LA 71106-4401 | 2014-08-06 |
| 1528394368 | Robert Earl Blount | Community Health Worker | 600 Common St, Shreveport, LA 71101-3432 | 2009-10-29 |
| 1437612801 | Reva Latisha Matthiew | Community Health Worker | 1450 Claiborne Ave, Shreveport, LA 71103-4204 | 2019-04-11 |
| 1598263675 | Artis Pastel Evans | Community Health Worker | 3341 Youree Dr, Shreveport, LA 71105-2149 | 2018-01-24 |
| 1922519677 | Joe Nathan Duirden | Community Health Worker | 9245 Wallace Lake Rd Ste A, Shreveport, LA 71106 | 2017-10-21 |
| 1831600584 | Breanna Shawnta Hickman | Community Health Worker | 9245 Wallace Lake Rd Ste A, Shreveport, LA 71106-7331 | 2017-10-21 |
| 1659882397 | Yulonda Shonta Lane | Community Health Worker | 9245 Wallace Lake Rd Ste A, Shreveport, LA 71106 | 2017-10-21 |
| 1740791482 | Demarcus Williams | Community Health Worker | 9245 Wallace Lake Rd Ste A, Shreveport, LA 71106-7331 | 2017-10-21 |
| Find all providers in SHREVEPORT | ||||
| City | SHREVEPORT |
| Zip Code | 71101 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.