LIBERTY RESTORATION COMMUNITY DEVELOPMENT CORPORATION (NPI# 1366775116) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366775116 |
| Entity Type | Organization |
| Organization Name | LIBERTY RESTORATION COMMUNITY DEVELOPMENT CORPORATION |
| Practice Address |
12415 Wardline Rd Hammond LA 70401-6210 |
| Practice Telephone | 9853407033 |
| Practice Fax Number | 9853407035 |
| Mailing Telephone | 9853407033 |
| Mailing Fax Number | 9853407035 |
| Enumeration Date | 2009-09-11 |
| Last Update Date | 2009-09-11 |
| Authorized Official Name | ANNETTE JOHNSON (DIRECTOR OF OPERATIONS) |
| Authorized Official Telephone | 9853407033 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 343900000X | Non-emergency Medical Transport (VAN) | LA | Transportation Services |
| Street Address |
12415 WARDLINE RD |
| City | HAMMOND |
| State | LA |
| Zip Code | 70401-6210 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245855659 | Tabita Hooper | Dentist | 2807 W Thomas, Hammond, LA 70401 | 2020-06-11 |
| 1689200826 | Thomas Michael Nedow | Specialist/Technologist | 500 W University Avenue, Hammond, LA 70401 | 2020-03-19 |
| 1861025041 | Jonte Bernard | Specialist/Technologist | 1150 N General Pershing, Hammond, LA 70401 | 2020-02-17 |
| 1275196156 | Monica Rome Thompson | Case Manager/Care Coordinator | 1312 N Morrison Blvd, Hammond, LA 70401 | 2019-04-17 |
| 1740752864 | Katelyn D Ennis | Case Manager/Care Coordinator | 1312 N. Morrison Blvd., Hammond, LA 70401 | 2018-12-31 |
| 1396215257 | Breyanna Johnson | Case Manager/Care Coordinator | 1312 North Morrison Blvd, Hammond, LA 70401 | 2018-12-04 |
| 1134695331 | Shanquel Antonet Mckay | Case Manager/Care Coordinator | 1312 N. Morrison Blvd, Hammond, LA 70401 | 2018-10-16 |
| 1598243412 | Brooke Lynn Boggs | Preventive Medicine | 800 North Hazel St., Hammond, LA 70401 | 2018-08-02 |
| 1811499197 | Ashley Daytora Cohn | Counselor | 15043 Woodstone Dr Apt 226, Hammond, LA 70401 | 2018-03-02 |
| 1790207645 | Angela D Dillon | Counselor | 12261 Patrina Ln, Hammond, LA 70401 | 2017-07-12 |
| Find all providers in zip 70401 | ||||
| Taxonomy Code | 343900000X |
| Grouping | Transportation Services |
| Classification | Non-emergency Medical Transport (VAN) |
| A land vehicle with a capacity to meet special height, clearance, access, and seating, for the conveyance of persons in non-emergency situations. The vehicle may or may not be required to meet local county or state regulations. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356958706 | Kiara Taylor | Non-emergency Medical Transport (VAN) | 45529 Saint Paul Loop, Hammond, LA 70401-5006 | 2020-09-29 |
| 1235753005 | Jamie D Bonds | Non-emergency Medical Transport (VAN) | 11168 Regency Ave, Hammond, LA 70403-2605 | 2020-06-07 |
| 1629613567 | Let's Ride Transportation, LLC | Non-emergency Medical Transport (VAN) | 1704 Harrell Ave, Hammond, LA 70403-3728 | 2019-11-14 |
| 1841848850 | The Carter Williams Group, LLC | Non-emergency Medical Transport (VAN) | 5209 Hohman Ave # 3011, Hammond, IN 46320-1719 | 2019-09-03 |
| 1013476753 | Travel Along Transportation LLC | Non-emergency Medical Transport (VAN) | 3324 Craig Dr # M278, Hammond, IN 46323-2471 | 2019-03-12 |
| 1003327909 | Angel of Hope | Non-emergency Medical Transport (VAN) | 42129 Gardens Blvd, Hammond, LA 70403-1377 | 2017-10-18 |
| 1730552928 | Wells Medical Transportation | Non-emergency Medical Transport (VAN) | 108 Mississippi St, Hammond, LA 70403-5512 | 2015-11-10 |
| 1588069660 | Shirley Davis Hendricks | Non-emergency Medical Transport (VAN) | 45246 Morris Rd, Hammond, LA 70401-7816 | 2014-10-30 |
| 1235490566 | Premier Medical Transportation, LLC | Non-emergency Medical Transport (VAN) | 1004 Venice Ave, Hammond, LA 70403-5454 | 2012-06-04 |
| 1114211844 | Swts | Non-emergency Medical Transport (VAN) | 6411 Grand Ave, Hammond, IN 46323-1230 | 2011-05-27 |
| Find all providers in HAMMOND | ||||
Please comment or provide details below to improve the information on LIBERTY RESTORATION COMMUNITY DEVELOPMENT CORPORATION.
| 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.