CARVER COMMUNITY CLINIC, LLC (NPI# 1225488562) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225488562 |
| Entity Type | Organization |
| Organization Name | CARVER COMMUNITY CLINIC, LLC |
| Practice Address |
3059 Higgins Blvd New Orleans LA 70126-5422 |
| Mailing Address |
3059 Higgins Blvd New Orleans LA 70126 |
| Practice Telephone | 5045200203 |
| Mailing Telephone | 5045200203 |
| Enumeration Date | 2016-06-17 |
| Last Update Date | 2016-06-17 |
| Authorized Official Name | STEPHEN T JONES (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 5045200203 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QS1000X |
Clinic/Center Specialization: Student Health |
MD203855 | LA | Ambulatory Health Care Facilities |
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
MD203855 | LA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 1093840 | 05 |
| Street Address |
3059 HIGGINS BLVD |
| City | NEW ORLEANS |
| State | LA |
| Zip Code | 70126-5422 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114469517 | Excelth, Inc | Assistant Behavior Analyst | 3059 Higgins Blvd, New Orleans, LA 70126-5422 | 2016-11-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871193540 | Dudley Paul Malveaux IIi | Driver | 3606 Desire Pkwy, New Orleans, LA 70126 | 2020-10-30 |
| 1427534254 | Shelly Kendrall Renee Francis | Counselor | 6400 Abbington Dr Apt 33, New Orleans, LA 70126 | 2018-07-15 |
| 1336635036 | Lashanda Renee Jackson | Case Manager/Care Coordinator | 6840 Coventry, New Rleans, LA 70126 | 2018-07-05 |
| 1063942720 | Michael Reed | Non-emergency Medical Transport (VAN) | 7710 Allison Rd, New Orleans, LA 70126 | 2017-06-15 |
| 1679001416 | Marla Bellinger | Speech-Language Pathologist | 6062 Providence Place, New Orleans, LA 70126 | 2017-05-24 |
| 1881120400 | Ernest Riley | Case Manager/Care Coordinator | 4824 Desire Dr, New Orleans, LA 70126 | 2017-05-02 |
| 1225574338 | Kenisha Martin | Case Manager/Care Coordinator | 6601 Dorchester St, New Orleans, LA 70126 | 2017-01-12 |
| 1154865418 | Tammy Nash | Genetic Counselor, MS | 6017 Warfield St, New Orleans, LA 70126 | 2016-12-06 |
| 1316397326 | Tracy Pittman | Counselor | 7200 Cove Dr., New Orleans, LA 70126 | 2016-06-21 |
| 1124476262 | Donna R. Stewart | Counselor | 7541 Eastmore Rd., New Orleans, LA 70126 | 2016-05-31 |
| Find all providers in zip 70126 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407398993 | Paula Bland Inc | Clinic/Center | 2758 Hudson Pl, New Orleans, LA 70131-3856 | 2016-11-15 |
| 1396115978 | Central City | Clinic/Center | 2426 Simon Bolivar Ave, New Orleans, LA 70113-2548 | 2015-09-25 |
| 1669719357 | Primary Care Partners, LLC | Clinic/Center | 3514 Gentilly Blvd, New Orleans, LA 70122-4908 | 2013-01-15 |
| 1508163411 | Medical Center of Gentilly | Clinic/Center | 7901 Downman Rd, New Orleans, LA 70126-1200 | 2011-02-13 |
| 1104136241 | Leading Edge Services International, Inc | Clinic/Center | 1501 Newton St, Suite C, New Orleans, LA 70114-2562 | 2010-10-07 |
| 1972739191 | Common Ground Health Clinic | Clinic/Center | 1400 Teche St, New Orleans, LA 70114-5843 | 2009-06-02 |
| 1194870782 | Comprehensive Medical Associates of New Orleans, LLC | Clinic/Center | 4001 Gen Degaulle Dr, Suite H, New Orleans, LA 70114-8220 | 2007-01-24 |
| 1326146499 | Crescent City Pediatrics, L.L.C. | Clinic/Center | 320 N Carrollton Ave, Suite 103, New Orleans, LA 70119-5144 | 2006-09-20 |
| 1972094266 | Louisiana Academic Health Network | Clinic/Center | 5552 Read Blvd, New Orleans, LA 70127 | 2018-05-23 |
| 1659886935 | Krewe of Kids, LLC | Clinic/Center | 6600 Franklin Ave Ste A2, New Orleans, LA 70122-5716 | 2017-12-07 |
| Find all providers in NEW ORLEANS | ||||
| City | NEW ORLEANS |
| Zip Code | 70126 |
Please comment or provide details below to improve the information on CARVER COMMUNITY CLINIC, LLC.
| 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.