COUNTRY ROAD RESOURCES, INC. (NPI# 1477674786) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477674786 |
| Entity Type | Organization |
| Organization Name | COUNTRY ROAD RESOURCES, INC. |
| Practice Address |
25687 Hwy 371 Sarepta LA 71071 |
| Mailing Address |
Po Box 93 Sarepta LA 71071-0093 |
| Practice Telephone | 3188474193 |
| Practice Fax Number | 3188474192 |
| Mailing Telephone | 3188474193 |
| Mailing Fax Number | 3188474192 |
| Enumeration Date | 2007-04-03 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MRS. JOHNIECE WHITEHEAD (DIRECTOR) |
| Authorized Official Telephone | 3188474193 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 3747P1801X |
Technician Specialization: Personal Care Attendant |
PCA 11002 | LA | Nursing Service Related Providers |
| N | 3747P1801X |
Technician Specialization: Personal Care Attendant |
SIL 11000 | LA | Nursing Service Related Providers |
| Y | 3747P1801X |
Technician Specialization: Personal Care Attendant |
RC 11001 | LA | Nursing Service Related Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 1463299 | 05 |
| Street Address |
25687 HWY 371 |
| City | SAREPTA |
| State | LA |
| Zip Code | 71071 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629293238 | Country Road Resources, Inc | Technician | 25687 Hwy 371, Sarepta, LA 71071 | 2007-04-17 |
| 1073636015 | Country Road Resources, Inc | Technician | 25687 Hwy 371, Sarepta, LA 71071 | 2007-04-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396269932 | Springhill Family Counseling, LLC | Counselor | 26597 Hwy 371, Sarepta, LA 71071 | 2017-07-26 |
| 1699191999 | Springhill Medical Services, Inc. | Clinic/Center | 369 Muddy Bottoms Drive, Sarepta, LA 71071 | 2014-03-11 |
| 1154395697 | Brian M. Smith | Family Medicine | 106 Tri-state Drive, Sarepta, LA 71071 | 2006-02-13 |
| 1184769754 | Arc of North Webster | Hospice Care, Community Based | 24556 Hwy 371, Sarepta, LA 71071-0351 | 2007-02-21 |
| 1588705222 | Arc of North Webster | Hospice Care, Community Based | 24566 Hwy 371, Sarepta, LA 71071-0351 | 2007-02-08 |
| 1568590438 | Arc of North Webster | Day Training, Developmentally Disabled Services | 24556 Hwy 371, Sarepta, LA 71071-0351 | 2007-03-01 |
| 1861527350 | Arc of North Webster | Hospice Care, Community Based | 24556 Hwy 371, Sarepta, LA 71071-0351 | 2007-02-23 |
| 1588799027 | Arc of North Webster | Day Training, Developmentally Disabled Services | 24556 Hwy 371, Sarepta, LA 71071-0351 | 2007-02-23 |
| 1437294006 | Arc of North Webster | Hospice Care, Community Based | 24556 Hwy 371, Sarepta, LA 71071-0351 | 2007-02-21 |
| 1447739081 | Tynekia Marie Frazier | Case Manager/Care Coordinator | 995 East Rd Apt 9, Sarepta, LA 71071-2465 | 2018-08-13 |
| Find all providers in zip 71071 | ||||
| Taxonomy Code | 3747P1801X |
| Grouping | Nursing Service Related Providers |
| Classification | Technician |
| Specialization | Personal Care Attendant |
| An individual who provides assistance with eating, bathing, dressing, personal hygiene, activities of daily living as specified in the plan of care. Services which are incidental to the care furnished, or essential to the health and welfare of the individual may also be provided. Personal care providers must meet state defined training and certification standards |
| Notes: [7/1/2003: definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629293238 | Country Road Resources, Inc | Technician | 25687 Hwy 371, Sarepta, LA 71071 | 2007-04-17 |
| 1073636015 | Country Road Resources, Inc | Technician | 25687 Hwy 371, Sarepta, LA 71071 | 2007-04-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770180390 | Demetria Abdualynn Thomas | Technician | 199 Skipper Dr, Mandeville, LA 70471-3021 | 2020-10-06 |
| 1780281360 | Shamontae Renee Nicholas | Technician | 329 Highway 400, Napoleonville, LA 70390-8929 | 2020-10-06 |
| 1174138424 | Christy Berry | Technician | 17232 Jefferson Hwy Apt 627, Baton Rouge, LA 70817-6982 | 2020-09-14 |
| 1336752450 | Sweetpee Care Services | Technician | 11111 Ivory Ln, Keithville, LA 71047 | 2020-08-28 |
| 1649898230 | Linda Jo Henderson | Technician | 1375 1st St Ste B, Arcadia, LA 71001-3530 | 2020-07-09 |
| 1679190490 | Liaison Home Care | Technician | 1221 Martin Dr, Marrero, LA 70072-2719 | 2020-06-26 |
| 1891325858 | Dania Bates | Technician | 2168 Meadow Hill Ave, Zachary, LA 70791-7019 | 2020-01-17 |
| 1780232579 | Brittany Inez Young | Technician | 4465 Bay View Drive, Marrero, LA 70072 | 2019-08-27 |
| 1316591878 | Leronisha Murphey | Technician | 1300 Jackson Street, Alexandria, LA 71301 | 2019-08-01 |
| 1710546593 | Stroolamb, LLC | Technician | 201 Trenton Street, Suite 1, West Monroe, LA 71291 | 2019-06-06 |
| Find all providers with the same taxonomy | ||||
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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.