CAITLIN JACOB (NPI# 1447715792) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447715792 |
| Entity Type | Individual |
| Full Name | CAITLIN JACOB |
| Practice Address |
501 Rue De Sante Ste 4 La Place LA 70068-5400 |
| Mailing Address |
500 Fairway Dr Ste 102 Deerfield Beach FL 33441-1817 |
| Practice Telephone | 9856527840 |
| Mailing Telephone | 8888809270 |
| Enumeration Date | 2019-01-31 |
| Last Update Date | 2020-08-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers | ||
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers | ||
| N | 106S00000X | Behavior Technician | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 4201 N I 10 Service Rd W, Metairie, LA 700066713 | 8888809270 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013573898 | Caitlin M Jacob | Pharmacist | 901 Macarthur Blvd, Munster, IN 46321-2901 | 2019-05-16 |
| Street Address |
501 RUE DE SANTE STE 4 |
| City | LA PLACE |
| State | LA |
| Zip Code | 70068-5400 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053408997 | Interlink Health Care Service Inc | Home Health | 501 Rue De Sante Ste 4, La Place, LA 70068-5400 | 2006-10-10 |
| 1861988057 | Brenda Edwards Young | Case Manager/Care Coordinator | 501 Rue De Sante Ste 4, La Place, LA 70068-5400 | 2018-07-10 |
| 1518468131 | Sara Boudreaux | Counselor | 501 Rue De Sante Ste 4, La Place, LA 70068-5400 | 2018-02-28 |
| 1912405853 | Pierre Hollins | Counselor | 501 Rue De Sante Ste 4, La Place, LA 70068-5400 | 2018-01-25 |
| 1427565647 | Percy Lindell Hollins | Counselor | 501 Rue De Sante Ste 4, La Place, LA 70068-5400 | 2018-01-09 |
| 1518471036 | Marcus Pierre | Counselor | 501 Rue De Sante Ste 4, La Place, LA 70068-5400 | 2017-11-20 |
| 1104379494 | Traci Aguinaga | Case Manager/Care Coordinator | 501 Rue De Sante Ste 4, La Place, LA 70068-5400 | 2016-08-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831743962 | Herzel Enterprises, LLC | Speech-Language Pathologist | 2136 Colonial Dr., Laplace, LA 70068 | 2019-07-26 |
| 1225695752 | Roger Guerin | Nurse Practitioner | River Place Behavioral Hospital, 500 Rue De Sante Rd., Laplace, LA 70068 | 2019-05-21 |
| 1578079661 | William Paul Gomla | Pharmacist | 932 Carrollwood Ave., Laplace, LA 70068 | 2017-12-27 |
| 1770001497 | Danesha Anthony | Case Manager/Care Coordinator | 1820 English Colony Dr, La Place, LA 70068 | 2017-09-01 |
| 1679091649 | Shade Shamarion Collins | Counselor | 51 Country Club Drove, Laplace, LA 70068 | 2017-08-30 |
| 1306375746 | Aniya Kesean Burl | Counselor | 2425 Williamsburg Dr, Laplace, LA 70068 | 2017-06-08 |
| 1073042412 | Dominique L Mcgehee | Counselor | 2168 Carmel Valley Drive, Laplace, LA 70068 | 2017-06-08 |
| 1700310901 | Malchiel Smith | Social Worker | 3205 Us-51, Laplace, LA 70068 | 2017-04-13 |
| 1265965966 | Shitara Sanders | Counselor | 3205 Highway 51, Suite C, Laplace, LA 70068 | 2017-04-10 |
| 1841730181 | Southern Care Connection, LLC | Home Health | 1101 W Airline Hwy, Suite J, Laplace, LA 70068 | 2017-03-06 |
| Find all providers in zip 70068 | ||||
| Taxonomy Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| 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] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174148670 | Destiny Nash | Case Manager/Care Coordinator | 3205 New Highway 51, La Place, LA 70068-6513 | 2020-06-10 |
| 1730711359 | Jessica Danielle Porter | Case Manager/Care Coordinator | 421 W Airline Hwy Ste F, La Place, LA 70068-3820 | 2020-02-11 |
| 1346870839 | Ici Tytiana Parks | Case Manager/Care Coordinator | 113 Pennbrooke Dr, La Place, LA 70068-1733 | 2020-01-23 |
| 1609426238 | Sharlene Tracy Wyre | Case Manager/Care Coordinator | 308 Oak Point Dr, La Place, LA 70068-7124 | 2019-09-16 |
| 1124686795 | Monae Dajonek Johnson | Case Manager/Care Coordinator | 816 Windsor St, La Place, LA 70068-5259 | 2019-05-30 |
| 1669938908 | Vanessa Marketter Dunn | Case Manager/Care Coordinator | 2104 Carmel Valley Dr, La Place, LA 70068-1814 | 2019-02-12 |
| 1023582632 | Kandis Caston | Case Manager/Care Coordinator | 382 Fairway Dr Apt 26, La Place, LA 70068-1921 | 2019-01-16 |
| 1881164259 | Penny Jones Hall | Case Manager/Care Coordinator | 2200 Van Arpel Dr, La Place, LA 70068-6341 | 2018-11-28 |
| 1902374473 | Kenneth Deruise | Case Manager/Care Coordinator | 2248 Country Club Dr, La Place, LA 70068-1818 | 2018-11-02 |
| 1699254102 | Leah Teresa Williams | Case Manager/Care Coordinator | 406 Coles Ldg, La Place, LA 70068-2955 | 2018-08-07 |
| Find all providers in LA PLACE | ||||
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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.