COUNCIL FOR ADVANCEMENT OF SOCIAL SERVICE AND EDUCATION (NPI# 1275053506) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1275053506 |
Entity Type | Organization |
Organization Name | COUNCIL FOR ADVANCEMENT OF SOCIAL SERVICE AND EDUCATION |
Other Organization Name | CASSE COMMUNITY HEALTH INSTITUTE - BOSSIER |
Practice Address |
2120 Airline Dr Bossier City LA 71111-3106 |
Mailing Address |
2120 Bert Kouns Industrial Loop Ste A Shreveport LA 71118-3351 |
Practice Telephone | 3186883350 |
Practice Fax Number | 3186883655 |
Mailing Telephone | 3186883350 |
Mailing Fax Number | 3186883655 |
Enumeration Date | 2017-06-27 |
Last Update Date | 2020-07-24 |
Authorized Official Name | MR. JEFF MOODY (C.O.O.) |
Authorized Official Telephone | 3186883350 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
LA | 2366866 | 05 |
Other Name | Type Code |
---|---|
CASSE Community Health Institute - Bossier | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1467061515 | Council for Advancement of Social Service and Education | Clinic/Center | 1560 Irving Place, Shreveport, LA 71101-4604 | 2020-07-24 |
1306455456 | Council for Advancement of Social Service and Education | Clinic/Center | 2120 Bert Kouns Industrial Loop Ste K-l, Shreveport, LA 71118-3351 | 2020-07-24 |
1912428244 | Council for Advancement of Social Service and Education | Clinic/Center | 149 Stonecreek Dr., Stonewall, LA 71078-6100 | 2017-06-27 |
1104340686 | Council for Advancement of Social Service and Education | Clinic/Center | 149 Stonecreek Dr., Stonewall, LA 71078-4906 | 2017-07-27 |
1134532062 | Council for Advancement of Social Service and Education | Clinic/Center | 2120 Bert Kouns Industrial Loop, Suite A, Shreveport, LA 71118-3351 | 2014-06-09 |
1508155649 | Council for Advancement of Social Service and Education | Dentist | 2120 Bert Kouns Industrial Loop, Suite E, Shreveport, LA 71118-3351 | 2011-03-29 |
1285942284 | Council for Advancement of Social Service and Education | Clinic/Center | 907 Polk St, Mansfield, LA 71052-2520 | 2010-09-24 |
1447337787 | Council for Advancement of Social Service and Education | Psychologist | 2120 Bert Kouns Industrial Loop, Ste. E, Shreveport, LA 71118-3351 | 2006-11-01 |
Street Address |
2120 AIRLINE DR |
City | BOSSIER CITY |
State | LA |
Zip Code | 71111-3106 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1215308283 | Kayce Nichols Kirk | Physician Assistant | 2120 Airline Dr, Bossier City, LA 71111-3106 | 2015-10-15 |
1255826897 | Thresa Hargrave | Nurse Practitioner | 2120 Airline Dr, Bossier City, LA 71111-3106 | 2018-06-26 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1669007951 | Tamara 'tammy' Larck | Counselor | 1525 Fullilove Drive, Shreveport, LA 71111 | 2020-03-06 |
1912538315 | Lagniappe Chiropractic | Chiropractor | 2400 Airline Drive, Bossier City, LA 71111 | 2020-02-04 |
1649817420 | Lifecare Medical Transportation, LLC. | Non-emergency Medical Transport (VAN) | 25 Duck Haven Pointe, Bossier City, LA 71111 | 2019-11-29 |
1770126344 | Bertresea White Evans | Nurse Practitioner | Coastal Urgernt Care, 5314 Airline Drive, Bossier City, LA 71111 | 2019-10-25 |
1861964058 | Erika Davis Reed | Counselor | 1515 Doctors Dr # 16, Bossier City, LA 71111 | 2018-12-28 |
1518436898 | Charlotte Mckay | Case Manager/Care Coordinator | 31330 Hwy 22, Ste 101, Bossier City, LA 71111 | 2018-11-16 |
1992271464 | Np2u, LLC | Nurse Practitioner | 2008 Airline Drive Suite 300 #194, Bossier City, LA 71111 | 2018-10-22 |
1114416542 | Lashaunda Autrey | Counselor | 410 Half Moon Lane, Bossier, LA 71111 | 2018-05-01 |
1750887196 | Shenya Williams-pennywell | Counselor | 1007 Gould Drive Bldg 2, Suite 1, Bossier City, LA 71111 | 2018-04-04 |
1336647304 | Patrick Vance | Physical Therapist | 5000 Benton Rd Ste 1, Bossier City, LA 71111 | 2018-01-24 |
Find all providers in zip 71111 |
Taxonomy Code | 261QF0400X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Federally Qualified Health Center (FQHC) |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1891964789 | David Raines Community Health Center, Inc | Clinic/Center | 1514 Doctors Dr, Bossier City, LA 71111-3379 | 2008-02-25 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1073120614 | Marillac Community Health Centers | Clinic/Center | 721 Saint Philip St, New Orleans, LA 70116-2713 | 2020-09-28 |
1699382697 | Start Corporation | Clinic/Center | 106 School Street, Houma, LA 70360 | 2020-09-24 |
1801402433 | Hiv/aids Alliance for Region Two, Inc. | Clinic/Center | 30789 N Range Avenue, Denham Springs, LA 70726 | 2020-09-18 |
1184239642 | Access Health Louisiana | Clinic/Center | 1400 Huey P Long Ave, Gretna, LA 70053-6436 | 2020-09-11 |
1770198681 | Marillac Community Health Centers | Clinic/Center | 4000 Cadillac St, New Orleans, LA 70122-1117 | 2020-09-09 |
1528673308 | Marillac Community Health Centers | Clinic/Center | 5800 Saint Roch Ave, New Orleans, LA 70122-5336 | 2020-09-09 |
1013522879 | Marillac Community Health Centers | Clinic/Center | 1423 Saint Philip St, New Orleans, LA 70116-2933 | 2020-09-09 |
1669086690 | Marillac Community Health Centers | Clinic/Center | 1908 Short St, Kenner, LA 70062-7550 | 2020-09-08 |
1023629425 | Winn Community Health Center, Inc. | Clinic/Center | 2200 N Bolton Ave, Alexandria, LA 71303-4407 | 2020-08-11 |
1467061515 | Council for Advancement of Social Service and Education | Clinic/Center | 1560 Irving Place, Shreveport, LA 71101-4604 | 2020-07-24 |
Find all providers with the same taxonomy |
City | BOSSIER CITY |
Zip Code | 71111 |
Please comment or provide details below to improve the information on COUNCIL FOR ADVANCEMENT OF SOCIAL SERVICE AND EDUCATION.
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.