ACTIVE SPINE CARE LLC (NPI# 1306109350) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1306109350 |
Entity Type | Organization |
Organization Name | ACTIVE SPINE CARE LLC |
Practice Address |
8108 Picardy Ave Ste E Baton Rouge LA 70809-3514 |
Mailing Address |
Po Box 880 Walker LA 70785-0880 |
Practice Telephone | 2258193235 |
Practice Fax Number | 2252930130 |
Mailing Telephone | 2257917788 |
Mailing Fax Number | 2252930130 |
Enumeration Date | 2012-06-22 |
Last Update Date | 2012-06-22 |
Authorized Official Name | MR. TODD T JANNEY SR. (CEO/MANAGER) |
Authorized Official Telephone | 2257917788 |
Authorized Official Credential | PT,CEAS, IPS |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QM2500X |
Clinic/Center Specialization: Medical Specialty |
LA | Ambulatory Health Care Facilities |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1538677133 | Active Spine Care LLC | Chiropractor | 9310 Old Kings Rd S Ste 1102, Jacksonville, FL 32257-6196 | 2018-01-17 |
Street Address |
8108 PICARDY AVE STE E |
City | BATON ROUGE |
State | LA |
Zip Code | 70809-3514 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1619582640 | Lisha Kerr Jacobsen | Counselor | 7936 Wrenwood Drive, Bldg # A, Baton Rouge, LA 70809 | 2020-09-15 |
1790301596 | Louisiana Regenerative Medicine Center | Clinic/Center | 9456 Jefferson Hwy St A, Baton Rouge, LA 70809 | 2020-06-18 |
1093337305 | Sew Luxe Customs, LLC | Prosthetic/Orthotic Supplier | 8674 Quarters Lake Road, Building 11 Suit 1, Baton Rouge, LA 70809 | 2020-05-08 |
1366903908 | Tamika Wyna Piper | Counselor | 11445 Reiger Road, Baton Rouge, LA 70809 | 2019-03-27 |
1548734213 | Urg-hab Surgical Specialists | Pain Medicine | 8558 Jefferson Hwy, Baton Rouge, LA 70809 | 2019-01-16 |
1205306610 | Monique West | Case Manager/Care Coordinator | 9441 Common Street, Suite B, Baton Rouge, LA 70809 | 2018-11-28 |
1679061618 | Sara Elizabeth Nicole Altaean | Massage Therapist | Ability Massage & Day Spa, 7656 Jefferson Hwy Suite 1a, Baton Rouge, LA 70809 | 2018-04-25 |
1871098921 | Gary Bernard Jr. | Massage Therapist | 7656 Jefferson Hwy Suite 1a, Baton Rouge, LA 70809 | 2018-03-29 |
1619476355 | De'andria Banks | Behavior Technician | 9150 Bareford Drive, Baton Rouge, LA 70809 | 2018-02-08 |
1427561679 | Angiogenesis Medical LLC | Durable Medical Equipment & Medical Supplies | 8032 Summa Ave Ste D, Baton Rouge, LA 70809 | 2017-11-09 |
Find all providers in zip 70809 |
Taxonomy Code | 261QM2500X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Medical Specialty |
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). |
Notes: [7/1/2003: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1437371820 | Dermatology and Aesthetic Institute | Clinic/Center | 7330 Perkins Road, Baton Rouge, LA 70808-4325 | 2007-05-03 |
1215159082 | Renaissance Healthcare, LLC | Clinic/Center | 251 Florida St, Suite 201, Baton Rouge, LA 70801-1703 | 2007-05-02 |
1912311812 | Butterfly Pediatrics, LLC | Clinic/Center | 7278 Highland Rd, Suite B, Baton Rouge, LA 70808-6607 | 2014-06-18 |
1306183645 | Medical & Diagnostic Clinic,llc | Clinic/Center | 10620 Timberlake Ave, Bldg 3, Baton Rouge, LA 70810-6614 | 2013-01-07 |
1073861357 | Infectious Diseases Consultants, LLC | Clinic/Center | 3401 North Blvd, Suite 335, Baton Rouge, LA 70806-3743 | 2012-08-17 |
1023247582 | Michael S Hanemann Jr Md LLC | Clinic/Center | 5233 Dijon Dr, Baton Rouge, LA 70808-4692 | 2009-07-06 |
1740475227 | Mouk Chiropractic Services | Clinic/Center | 6509 Government St, Baton Rouge, LA 70806-6238 | 2007-09-07 |
1467574384 | The Allergy Clinic, LLC | Clinic/Center | 7968 Goodwood Blvd, Baton Rouge, LA 70806-7629 | 2007-04-03 |
1710078449 | Jefferson Family Medical Center,llc | Clinic/Center | 330 Lee Dr., Suite B, Baton Rouge, LA 70808-1601 | 2006-09-27 |
1134130222 | Lsa, A Pmc | Clinic/Center | 5253 Dijon Dr, Suite A, Baton Rouge, LA 70808-4312 | 2006-08-11 |
Find all providers in BATON ROUGE |
City | BATON ROUGE |
Zip Code | 70809 |
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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.