ZACHARIA JOHNSON (NPI# 1104385848) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1104385848 |
Entity Type | Individual |
Full Name | ZACHARIA JOHNSON |
Practice Address |
198 Parkway Cir West Monroe LA 71292-8032 |
Practice Telephone | 3186004225 |
Practice Fax Number | 3186004228 |
Mailing Telephone | 3186004225 |
Mailing Fax Number | 3186004228 |
Enumeration Date | 2019-03-12 |
Last Update Date | 2019-03-12 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 385HR2055X |
Respite Care Specialization: Respite Care, Mental Illness, Child |
Respite Care Facility |
Street Address |
198 PARKWAY CIR |
City | WEST MONROE |
State | LA |
Zip Code | 71292-8032 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1770107245 | Lee'montae Boatner | Technician | 198 Parkway Cir, West Monroe, LA 71292-8032 | 2020-06-01 |
1003430638 | Aaliyah Towns | Technician | 198 Parkway Cir, West Monroe, LA 71292-8032 | 2020-05-29 |
1629538400 | Chelsea Danielle Ross | Respite Care | 198 Parkway Cir, West Monroe, LA 71292-8032 | 2019-03-20 |
1861951980 | Sarah Beth Duke | Respite Care | 198 Parkway Cir, West Monroe, LA 71292-8032 | 2019-03-18 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1699222190 | Kasi Lively | Physician Assistant | 1879 Caples Rd, West Monroe, LA 71292 | 2016-09-01 |
1780029918 | Earlysteps | Home Health | 130 Laureli Ln, West Monroe, LA 71292 | 2013-05-01 |
1356587372 | Donald Shane Debnam | Nurse Practitioner | 1070 Jonesboro Road, Gpi - Plant 70 Medical Center, West Monroe, LA 71292 | 2008-12-22 |
1063572428 | Mr. Discount Drugs, Inc. | Pharmacy | 1106 Jonesboro Road, West Monroe, LA 71292 | 2006-12-08 |
1356376602 | West Monroe Care Center LLC | Family Medicine | 1416 Natchitaches Road, West Monroe, LA 71292 | 2006-07-12 |
1912936980 | Advanced Medical Supply Inc | Durable Medical Equipment & Medical Supplies | 213 Expo Circle, West Monroe, LA 71292 | 2006-07-02 |
1023054871 | Healthcare Warehouse LLC | Durable Medical Equipment & Medical Supplies | 209 Expo Circle, Ste A, West Monroe, LA 71292 | 2006-06-21 |
1831154350 | Julee Lynn Winkler | Physical Therapist | 619 Kendall Ridge, West Monroe, LA 71292 | 2006-04-18 |
1033236393 | Monpsych Care Professional Corporation | Psychiatry & Neurology | 110 Elsinore Dr, West Monroe, LA 71292-0170 | 2007-03-23 |
1023621398 | Sharon Mayree Colton | Nurse Practitioner | 5856 Jonesboro Rd, West Monroe, LA 71292-0373 | 2020-08-26 |
Find all providers in zip 71292 |
Taxonomy Code | 385HR2055X |
Grouping | Respite Care Facility |
Classification | Respite Care |
Specialization | Respite Care, Mental Illness, Child |
A facility or distinct part of a facility that provides short term, residential care to children, diagnosed with mental illness, as respite for the regular caregivers. |
Notes: [7/1/2003: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1629538400 | Chelsea Danielle Ross | Respite Care | 198 Parkway Cir, West Monroe, LA 71292-8032 | 2019-03-20 |
1861951980 | Sarah Beth Duke | Respite Care | 198 Parkway Cir, West Monroe, LA 71292-8032 | 2019-03-18 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1609227099 | Top of The Line Home Care Services | Respite Care | 9631 Amblewood Ln, Same, Shreveport, LA 71118-5021 | 2016-06-27 |
1568811297 | Great Thinkers, Inc. | Respite Care | 750 Florida Blvd, 2213, Baton Rouge, LA 70821 | 2016-06-03 |
1659636561 | Ekhaya Youth Project, Inc. | Respite Care | 1112 5th St, Gretna, LA 70053-6008 | 2012-07-06 |
City | WEST MONROE |
Zip Code | 71292 |
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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.