MC2 ENTERPRISES, LLC (NPI# 1326176629) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326176629 |
| Entity Type | Organization |
| Organization Name | MC2 ENTERPRISES, LLC |
| Other Organization Name | GO PHYSICAL THERAPY |
| Practice Address |
4715 Perkins Rd Baton Rouge LA 70808-3040 |
| Practice Telephone | 2259230110 |
| Practice Fax Number | 2259230111 |
| Mailing Telephone | 2259230110 |
| Mailing Fax Number | 2259230111 |
| Enumeration Date | 2007-03-01 |
| Last Update Date | 2007-12-27 |
| Authorized Official Name | GLORIA WALL (OWNER) |
| Authorized Official Telephone | 2259230110 |
| Authorized Official Credential | P.T. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 385HR2065X |
Respite Care Specialization: Respite Care, Physical Disabilities, Child |
LA | Respite Care Facility |
| Other Name | Type Code |
|---|---|
| Go Physical Therapy | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326360074 | Mc2 Enterprises, LLC | Clinic/Center | 8100 Ymca Plaza Dr, Baton Rouge, LA 70810-0916 | 2010-02-23 |
| 1982830337 | Mc2 Enterprises, LLC | Clinic/Center | 350 S Foster Dr, Baton Rouge, LA 70806-4105 | 2009-05-29 |
| Street Address |
4715 PERKINS RD |
| City | BATON ROUGE |
| State | LA |
| Zip Code | 70808-3040 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811242258 | Marla Marie Jordan | Physical Therapist | 4715 Perkins Rd, Baton Rouge, LA 70808-3040 | 2012-07-23 |
| 1942435359 | Patrick E Obrien | Physical Therapist | 4715 Perkins Rd, Baton Rouge, LA 70808-3040 | 2009-05-29 |
| 1053569723 | Christopher Scaffin | Physical Medicine & Rehabilitation | 4715 Perkins Rd, Baton Rouge, LA 70808-3040 | 2008-09-05 |
| 1194901439 | Gloria L Wall | Physical Therapist | 4715 Perkins Rd, Baton Rouge, LA 70808-3040 | 2008-01-17 |
| 1780712992 | Scott C Mcclelland | Physical Therapist | 4715 Perkins Rd, Baton Rouge, LA 70808-3040 | 2007-03-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790313161 | Leah Michelle Dlugolecki | Student in an Organized Health Care Education/Training Program | Lsu Psychiatry Residency Program, 5246 Brittany Drive, Baton Rouge, LA 70808 | 2020-03-31 |
| 1003376302 | Kristina Pham | Student in an Organized Health Care Education/Training Program | 5246 Brittany Drive, 3rd Floor, Baton Rouge, LA 70808 | 2019-03-22 |
| 1083174486 | John Jay Hogan | Student in an Organized Health Care Education/Training Program | Lsu Emergency Medicine Residency Program, 5246 Brittany Drive, Baton Rouge, LA 70808 | 2019-03-21 |
| 1033682075 | Joseph Bertell Davis Jr. | Case Manager/Care Coordinator | 2460 College Drive, Baton Rouge, LA 70808 | 2019-01-02 |
| 1508340886 | Jennifer Miatech | Student in an Organized Health Care Education/Training Program | 8585 Picardy Ave., Medical Tower 2, Baton Rouge, LA 70808 | 2018-09-21 |
| 1700389137 | Jenee Robins | Case Manager/Care Coordinator | 2100 College Dr Apt 159, Baton Rouge, LA 70808 | 2018-03-12 |
| 1952812893 | Da Vonna Dents | Behavioral Analyst | 418 Stoney Creek Ave, Baton Rouge, LA 70808 | 2017-10-18 |
| 1962925669 | Katharine Elizabeth Blum | Counselor | 7936 Wrenwood Blvd. Ste A, Baton Rouge, LA 70808 | 2017-07-25 |
| 1801316120 | Amie Jackson | Social Worker | 5420 Corporate Blvd. Ste 308, Baton Rouge, LA 70808 | 2017-06-27 |
| 1235660713 | Melissa A Eddy-shelby | Student in an Organized Health Care Education/Training Program | 5000 Hennessy Blvs, Suite 6004, Baton Rouge, LA 70808 | 2017-03-25 |
| Find all providers in zip 70808 | ||||
| Taxonomy Code | 385HR2065X |
| Grouping | Respite Care Facility |
| Classification | Respite Care |
| Specialization | Respite Care, Physical Disabilities, Child |
| A facility or distinct part of a facility that providers short term, residential care to children, diagnosed with complex or profound disabilities as respite for the regular caregivers. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700337334 | Jackie's Lovin Angels Professional Care Services | Respite Care | 316 Federal Dr, Avondale, LA 70094-2433 | 2016-10-19 |
| 1841445608 | Genesis Unlimted Resource Inc. | Respite Care | 3444 Kabel Dr, New Orleans, LA 70131-6926 | 2008-11-20 |
| 1922087956 | Having Faith Personal Care Services | Respite Care | 1001 W Pinhook Rd, Suite # 306, Lafayette, LA 70503-2445 | 2006-01-09 |
| 1508109935 | K & T Medical Enterprises | Respite Care | 39 Starbrush Cir, Ste 1, Covington, LA 70433-7209 | 2013-04-04 |
| City | BATON ROUGE |
| Zip Code | 70808 |
Please comment or provide details below to improve the information on MC2 ENTERPRISES, 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.