COMPANION CARE OF SWLA (NPI# 1225291941) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225291941 |
| Entity Type | Organization |
| Organization Name | COMPANION CARE OF SWLA |
| Other Organization Name | COMPANION CARE |
| Practice Address |
410 Bon Ami St Deridder LA 70634-4830 |
| Practice Telephone | 3374633550 |
| Practice Fax Number | 3374638012 |
| Mailing Telephone | 3374633550 |
| Mailing Fax Number | 3374638012 |
| Enumeration Date | 2008-07-02 |
| Last Update Date | 2008-07-02 |
| Authorized Official Name | MRS. SANDRA A WALLACE (ADMINISTRATOR) |
| Authorized Official Telephone | 3374633550 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251X00000X | Supports Brokerage | ========= | LA | Agencies |
| Other Name | Type Code |
|---|---|
| Companion Care | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316264575 | Companion Care of Swla | In Home Supportive Care | 1014a N Pine St, Deridder, LA 70634-2818 | 2010-04-28 |
| 1467788976 | Companion Care of Swla | In Home Supportive Care | 1014 N Pine St, Deridder, LA 70634-2818 | 2009-10-19 |
| 1770800724 | Companion Care of Swla | In Home Supportive Care | 1014 N Pine St, Deridder, LA 70634 | 2010-04-30 |
| Street Address |
410 BON AMI ST |
| City | DERIDDER |
| State | LA |
| Zip Code | 70634-4830 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861016164 | Just Health | Clinic/Center | 411 Bolivar Bishop Dr, Deridder, LA 70634 | 2020-06-02 |
| 1477193183 | Stacey Marie Legros | Occupational Therapy Assistant | 19503 Highway 171, Deridder, LA 70634 | 2020-01-10 |
| 1487296588 | Imperial Health LLP | Internal Medicine | 200 W 5th Street, Deridder, LA 70634 | 2019-10-10 |
| 1902367568 | Residential Therapy Solutions, LLC | Physical Therapist | 19503 Hwy 171, Deridder, LA 70634 | 2019-03-27 |
| 1023583044 | Calcasieu Urgent Care LLC | Clinic/Center | 1017 N Pine Street, Deridder, LA 70634 | 2018-10-05 |
| 1235638222 | Melanie Welch, Fnp, LLC | Nurse Practitioner | 1420 Blankenship Dr., Deridder, LA 70634 | 2018-02-06 |
| 1265976617 | Jennifer Dianne Midgett | Nurse Practitioner | 2581 Highway 190 W, Deridder, LA 70634 | 2016-12-05 |
| 1821419334 | Beauregard Hematolog & Oncology | Internal Medicine | 301 S. Washington St., Ste B, Deridder, LA 70634 | 2013-12-31 |
| 1982835013 | Kathern Sue Hollifield | Physical Therapist | 309 S. Washington St., Beauregard Physical Therapy Clinic Inc, Deridder, LA 70634 | 2009-08-06 |
| 1750541777 | Tracy Winkley | Physical Therapist | 1744 Ball Rd, Deridder, LA 70634 | 2008-06-12 |
| Find all providers in zip 70634 | ||||
| Taxonomy Code | 251X00000X |
| Grouping | Agencies |
| Classification | Supports Brokerage |
| A provider of service/function that assists participating individuals to make informed decisions about what will work best for them is consistent with their needs and reflects their individual circumstances. Serving as the agent of the individual, the service is available to assist in identifying immediate and long-term needs, developing options to meet those needs and accessing identified supports and services and may include assistance with recruiting, screening, hiring, and training in-home support providers. A family or person-centered planning approach is used. Supports Brokerage offers practical skills training to enable families and individuals to remain independent. Examples of skills training include providing information on recruiting and hiring personal care workers, managing personal care workers and providing information on effective communication and problem solving. The service/function provides sufficient information to assure that individuals understand the responsibilities involved with self-direction and assist in the development of an effective back-up and emergency plan. Plans may elect to fulfill the requirement of this service/function using a self-directed case manager or creating a distinct service. The Supports Brokerage documents the need for assistive services, planning for and documenting the use of excess funds and locating and maintaining services. |
| Notes: Source: CMS Independence Plus Waiver template. [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912230228 | Excellence Physician Billing | Supports Brokerage | 9501 Chase Way, Shreveport, LA 71118-4619 | 2009-09-18 |
| 1073775888 | Visiting Care Association of Florida Parishes, LLC | Supports Brokerage | 207 E Charles St, Hammond, LA 70401-3305 | 2008-07-02 |
| 1487873147 | Community Support Specialists, Inc | Supports Brokerage | 7921 Bullard Ave, New Orleans, LA 70128-1197 | 2007-04-24 |
| 1639483548 | Comprehensive Independent Goals Inc | Supports Brokerage | 2138 Wooddale Blvd, Ste 3, Baton Rouge, LA 70806-1443 | 2010-08-03 |
| 1598079428 | Comprehensive Independent Goals, Inc. | Supports Brokerage | 2138 Wooddale Blvd, Ste - 3, Baton Rouge, LA 70806-1443 | 2010-08-03 |
| 1720230121 | Visiting Care Association of The Florida Parishes, LLC | Supports Brokerage | 207 E Charles St, Hammond, LA 70401-3305 | 2008-10-16 |
| 1831374370 | Community Support Specialists, Inc | Supports Brokerage | 7921 Bullard Ave, Unit 2b, New Orleans, LA 70128-1197 | 2008-01-03 |
| 1750566295 | Peoples Choice of America | Supports Brokerage | 7240 Crowder Blvd, Ste 209, New Orleans, LA 70127-1922 | 2008-01-03 |
Please comment or provide details below to improve the information on COMPANION CARE OF SWLA.
| 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.