ANGELICARE LLC


Address: 3408 Angelique Dr, Violet, LA 70092-2854
Phone: 8883666116

ANGELICARE LLC (NPI# 1619331766) 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) 1619331766
Entity Type Organization
Organization Name ANGELICARE LLC
Practice Address 3408 Angelique Dr
Violet
LA 70092-2854
Practice Telephone 8883666116
Practice Fax Number 8883666116
Mailing Telephone 8883666116
Mailing Fax Number 8883666116
Enumeration Date 2016-04-05
Last Update Date 2016-04-05
Authorized Official Name MS. DIONNA BROCK RICHARDSON (OWNER)
Authorized Official Telephone 8883666116
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 320600000X Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities Residential Treatment Facilities

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1538768155 Angelicare LLC Counselor 6650 N Northwest Hwy Ste 215, Chicago, IL 60631-1363 2020-10-23
1376870410 Angelicare LLC Home Health 5871 Cedar Lake Rd S, Suite 101, St Louis Park, MN 55416-1472 2009-11-11

Office Location

Street Address 3408 ANGELIQUE DR
City VIOLET
State LA
Zip Code 70092-2854

Providers in the same location

NPI Name Taxonomy Address Enumeration
1043673965 Dionna Richardson Case Manager/Care Coordinator 3408 Angelique Dr, Violet, LA 70092-2854 2016-03-29

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1073037974 Heavenly Angels Transportation LLC Non-emergency Medical Transport (VAN) 2712 Shannon Dr, Violet, LA 70092 2017-08-01
1164770566 Extended Family Care LLC Community Health Worker 3309 Ashley Dr, 3309 Ashley, Violet, LA 70092-2837 2012-08-16
1225509938 Rosetta Marie Gabriel Technician, Pathology 3217 Angelique Dr, Violet, LA 70092-2851 2018-12-07
1487131520 Naomi Ayro Home Health Aide 3105 Shannon Dr, Violet, LA 70092-2866 2018-07-22
1720609787 Dominique Tenna Brown Non-emergency Medical Transport (VAN) 2912 Guerra Dr, Violet, LA 70092-2935 2020-04-30
1558987651 B&h Expansion LLC Non-emergency Medical Transport (VAN) 2913 Guerra Dr, Violet, LA 70092-2936 2020-06-24
1518597814 Larresa Keyonna Phillips Speech-Language Pathologist 2417 Highland Dr, Violet, LA 70092-2962 2020-01-25
1619598000 Communicating Our Way Speech and Language Pathology Outpatient Service Speech-Language Pathologist 2417 Highland Dr, Violet, LA 70092-2962 2020-04-27
1518090943 E D & J Group Home Hospice Care, Community Based 5602 6th St, Violet, LA 70092-3039 2007-03-14
1699274860 Divine Intervention Treatment Facility LLC Clinic/Center 5665 6th St, Violet, LA 70092-3040 2018-02-02
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Taxonomy Information

Taxonomy Code 320600000X
Grouping Residential Treatment Facilities
Classification Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities

Taxonomy Definition

A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental disabilities and/or mental retardation and are not able to live independently.
Notes: [7/1/2003: new]

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1265041446 Serene Living LLC Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 1567 Shirley Dr, New Orleans, LA 70114-2911 2020-07-23
1609495324 180 Family Services Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 9418 Brookline Ave Ste B, Baton Rouge, LA 70809-1428 2020-04-13
1902442395 Arc of Acadiana, Inc Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 106 Jackie Street, Rayne, LA 70578-7056 2019-11-21
1033766126 Believe Therapeutic Group Home Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 8566 Bayou Run Dr, New Roads, LA 70760-2454 2019-08-22
1063065217 House of Nola Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 10073 Pleasant Dr, Bastrop, LA 71220-6347 2019-07-17
1396219101 Arc of Acadiana, Inc Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 1601 East B North St, Rayne, LA 70578 2019-01-15
1316393531 Evergreen Presbyterian Ministries, Inc. Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 1538 Camellia Dr, Hammond, LA 70403-6228 2016-05-06
1164801726 Grover Therapy LLC Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 218 Brumley Ln, Duson, LA 70529-4022 2015-05-28
1124418348 Evergree Presbyterian Ministries, Inc. Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 43488 Klein Road, Hammond, LA 70403 2015-01-26
1962892331 Evergreen Presbyterian Ministries,inc. Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 955 Live Oak Ct, Ponchatoula, LA 70454-4869 2015-01-23
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Competitor

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City VIOLET
Zip Code 70092

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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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