CRISTIAN JOSE LEOPOLDO CARABALLO RODRIGUEZ


Address: 2509 Johnston St Apt 7-06, Lafayette, LA 70503-3261
Phone: 3378898043

CRISTIAN JOSE LEOPOLDO CARABALLO RODRIGUEZ (NPI# 1437772258) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1437772258
Entity Type Individual
Full Name CRISTIAN JOSE LEOPOLDO CARABALLO RODRIGUEZ
Other Name CRISTIAN JOSE CARABALLO
Practice Address 2509 Johnston St Apt 7-06
Lafayette
LA 70503-3261
Practice Telephone 3378898043
Mailing Telephone 3378898043
Enumeration Date 2020-05-27
Last Update Date 2020-05-27
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 171M00000X Case Manager/Care Coordinator Other Service Providers

Office Location

Street Address 2509 JOHNSTON ST APT 7-06
City LAFAYETTE
State LA
Zip Code 70503-3261

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1972147346 Ryan Christopher Winters Counselor 143 Ridgeway Dr., Lafayette, LA 70503 2019-10-29
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1770041295 Karen R Rue Registered Nurse 1001 W. Pinhook Rd, Bldg #3, Ste. 212, Lafayette, La, LA 70503 2019-03-04
1235601766 Frances Chauvin, Dds, LLC Dentist 229 Bendel Rd., Lafayette, LA 70503 2018-12-21
1710456116 Affordable Caregivers, Inc. In Home Supportive Care 515 South College Rd., Suite 125, Lafeyette, LA 70503 2018-11-15
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Taxonomy Information

Taxonomy Code 171M00000X
Grouping Other Service Providers
Classification Case Manager/Care Coordinator

Taxonomy Definition

A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.
Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1043817331 Wanda Frazier Case Manager/Care Coordinator 203 Robert Lee Cir, Lafayette, LA 70506-3130 2020-10-08
1053925891 Tiesha Sheridan Case Manager/Care Coordinator 201 Pavilion St, Lafayette, LA 70507-2691 2020-08-31
1821608621 Dana St Julien Case Manager/Care Coordinator 103 Whirlaway Drive, Lafayette, LA 70507-2592 2020-08-06
1023636032 Kayla Lynn Falgout Case Manager/Care Coordinator 112 Hillside Dr Apt 36, Lafayette, LA 70503-2837 2020-07-07
1124649371 Jean Harford Case Manager/Care Coordinator 415 N 26th St Ste 102, Lafayette, IN 47904-2855 2020-04-29
1780218727 Jennifer Trumps Case Manager/Care Coordinator 200 Entergy Parkway, Lafayette, LA 70508 2020-02-28
1700410925 Ireland Williams Case Manager/Care Coordinator 201 High Meadows Blvd Apt 116, Lafayette, LA 70507-3454 2020-02-26
1619508173 Erik Narcisse Case Manager/Care Coordinator 1318 Lee Ave Apt A8, Lafayette, LA 70506-3663 2020-02-03
1841821899 Bailey Derrion Valentine Case Manager/Care Coordinator 1400 N Bertrand Dr Apt 5111, Lafayette, LA 70506-3066 2020-01-29
1639709389 Meagan Citron Case Manager/Care Coordinator 113 West Covent St, Lafayette, LA 70501-6390 2020-01-22
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Competitor

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City LAFAYETTE
Zip Code 70503

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Dataset Information

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.

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