DIVINE WISDOM ADHC (NPI# 1164799144) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164799144 |
| Entity Type | Organization |
| Organization Name | DIVINE WISDOM ADHC |
| Practice Address |
5210 Lapalco Blvd Ste E&f Marrero LA 70072-4269 |
| Mailing Address |
5210 Lapalco Blve Suite E & F Marrero LA 70072 |
| Practice Telephone | 5045081225 |
| Mailing Telephone | 5045081225 |
| Enumeration Date | 2011-11-19 |
| Last Update Date | 2011-11-19 |
| Authorized Official Name | MS. ANNIE RICHARDSON (CEO) |
| Authorized Official Telephone | 5043938180 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251C00000X | Day Training, Developmentally Disabled Services | ADHC 5074 | LA | Agencies |
| Street Address |
5210 LAPALCO BLVD STE E&F |
| City | MARRERO |
| State | LA |
| Zip Code | 70072-4269 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780232579 | Brittany Inez Young | Technician | 4465 Bay View Drive, Marrero, LA 70072 | 2019-08-27 |
| 1356829774 | Zachary Allen Runge Kleinpeter | Physician Assistant | 1111 Medical Center Blvd Ste S630, Marrero, LA 70072 | 2018-07-30 |
| 1689172611 | Derron White | Specialist | 2324 Barataria Blvd, Marrero, LA 70072 | 2018-01-24 |
| 1477064616 | Bone & Joint, LLC Physical Therapy | Physical Therapist | 4633 Wichers Dr., Marrero, LA 70072 | 2017-10-16 |
| 1477077410 | Darlene Jenkins | Case Manager/Care Coordinator | 7606 Westbank Expy Ste B, Marrero, LA 70072 | 2017-08-01 |
| 1871017186 | Tyra K Haynes | Non-emergency Medical Transport (VAN) | 536 Westwood Drive, Marrero, LA 70072 | 2017-07-28 |
| 1265961536 | Danika Kayelle Frank | Social Worker | 6189 Boutte St, Marrero, LA 70072 | 2017-06-08 |
| 1528596673 | Monica Cheree Mayberry | Counselor | 931 Westwood Dr., Marrero, LA 70072 | 2017-06-01 |
| 1710419197 | Sharla Black | Counselor | 2069 Paine Drive, Marrero, LA 70072 | 2017-04-03 |
| 1699207043 | Tango Austin | Counselor | 2573 Foliage Drive, Marrero, LA 70072 | 2017-04-03 |
| Find all providers in zip 70072 | ||||
| Taxonomy Code | 251C00000X |
| Grouping | Agencies |
| Classification | Day Training, Developmentally Disabled Services |
| These agencies are authorized to provide day habilitation services to developmentally disabled individuals who live in their homes. The function of day habilitation is to assist an individual to acquire and maintain those life skills that enable the individual to cope more effectively with the demands of independent living. Also to raise the level of the individual's physical, mental, social, and vocational functioning. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245532365 | Tracy R. Brown | Day Training, Developmentally Disabled Services | 5210 Lapalco Blvd, Sutie E/f, Marrero, LA 70072-4269 | 2010-11-22 |
| 1275185936 | Blessed Life Health Services | Day Training, Developmentally Disabled Services | 2273 Barataria Blvd Ste 1&2, Marrero, LA 70072-5456 | 2019-07-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942830328 | Holistic Health Care Services, Inc | Day Training, Developmentally Disabled Services | 22175 Plank Rd, Zachary, LA 70791-7465 | 2020-01-24 |
| 1578103503 | Association Retarded Citizens Baton Rouge | Day Training, Developmentally Disabled Services | 12616 Jefferson Hwy, Baton Rouge, LA 70816-6248 | 2020-01-07 |
| 1780185660 | Bobbie Mims | Day Training, Developmentally Disabled Services | 14966 Highway 9, Athens, LA 71003-3068 | 2018-02-26 |
| 1093253098 | Fresh Start Family Support Services | Day Training, Developmentally Disabled Services | 405 Hearne Ave, Shreveport, LA 71103-2021 | 2017-02-09 |
| 1659814697 | Therapeutic Approaches, Inc | Day Training, Developmentally Disabled Services | 1310 Powell, Monroe, LA 71203 | 2016-11-23 |
| 1326591793 | Alphacare Support | Day Training, Developmentally Disabled Services | 7809 Airline Dr., Ste. 210, Metairie, LA 70003 | 2016-08-02 |
| 1760839435 | Solomon Temple Ministries | Day Training, Developmentally Disabled Services | 1917 Harless St, Lake Charles, LA 70601-1036 | 2016-05-23 |
| 1376912204 | Allesha Adult Day Care and Health Center Inc. | Day Training, Developmentally Disabled Services | 4843 Viola St, New Orleans, LA 70126-4366 | 2015-09-22 |
| 1407243975 | Association of Retarded Citizens of Evangeline, Inc | Day Training, Developmentally Disabled Services | 109 West Lasalle St, Ville Platte, LA 70586 | 2015-04-22 |
| 1457756736 | Jasmine Care, LLC | Day Training, Developmentally Disabled Services | 9151 Interline Ave, Suite 6b, Baton Rouge, LA 70809-1970 | 2014-10-28 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on DIVINE WISDOM ADHC.
| 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.