LEATHRICE JACK (NPI# 1649606989) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649606989 |
| Entity Type | Individual |
| Full Name | LEATHRICE JACK |
| Practice Address |
709 East Jefferson St Ville Platte LA 70586 |
| Mailing Address |
709 E Jefferson St Ville Platte LA 70586-3911 |
| Practice Telephone | 3373360341 |
| Mailing Telephone | 3373360341 |
| Enumeration Date | 2013-09-18 |
| Last Update Date | 2013-09-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171WH0202X |
Contractor Specialization: Home Modifications |
555855 | LA | Other Service Providers |
| Street Address |
709 EAST JEFFERSON ST |
| City | VILLE PLATTE |
| State | LA |
| Zip Code | 70586 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356942155 | Clhg-ville Platte LLC | Clinic/Center | 804 E. Main Street, Ville Platte, LA 70586 | 2020-11-06 |
| 1134766785 | Wilbur Doucet | Non-emergency Medical Transport (VAN) | 710 North Stagg Street, The Same, Ville Platte, LA 70586 | 2019-12-03 |
| 1114578242 | Tara Mcclendon | Home Health Aide | 171 Prairiedale Ave, Ville Platte, LA 70586 | 2019-09-20 |
| 1205391646 | Joy Nicole Jodon | Case Manager/Care Coordinator | 2683 Vidrine Rd., Ville Platte, LA 70586 | 2019-02-08 |
| 1467921973 | Hulin Urgent Care Services, LLC | Clinic/Center | 804 E. Lasalle Street, Ville Platte, LA 70586 | 2018-11-14 |
| 1871073304 | Heinen Medical Clinics LLC | Clinic/Center | 825 W Lasalle St, Ville Platte, LA 70586 | 2018-08-15 |
| 1134633357 | Jamie Lynn Thomas | Case Manager/Care Coordinator | 1411 West Oak Alley, Ville Platte, LA 70586 | 2017-11-27 |
| 1447764667 | Jeanne Feucht Comeaux | Counselor | 420 Whispering Pine Ln, Ville Platte, LA 70586 | 2017-11-27 |
| 1164950879 | Michelle Allison | Counselor | 418 N Fontenot St, Ville Platte, LA 70586 | 2017-05-24 |
| 1033647813 | Denise Anderson | Counselor | 506 W Jefferson St, Ville Platte, LA 70586 | 2017-05-24 |
| Find all providers in zip 70586 | ||||
| Taxonomy Code | 171WH0202X |
| Grouping | Other Service Providers |
| Classification | Contractor |
| Specialization | Home Modifications |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578897682 | Community Care of Louisiana, LLC | Contractor | 308 Court St, Ville Platte, LA 70586-5248 | 2009-09-22 |
| 1427287879 | Alisia Gibson | Contractor | 112 E Desoto St, Ville Platte, LA 70586-3321 | 2009-07-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942833314 | Craig Michael Hefler Jr. | Contractor | 804 Colony Pl, Metairie, LA 70003-2414 | 2020-02-13 |
| 1962055251 | Theophilus B Spears | Contractor | 4121 Saint Claude Ave, New Orleans, LA 70117-5336 | 2019-07-17 |
| 1831756022 | Jeffre Raybon | Contractor | 12602 Coursey Blvd, Baton Rouge, LA 70816-4555 | 2019-05-22 |
| 1427560689 | Sigur Homes Inc | Contractor | 107 Columbia Place, Slidell, LA 70458 | 2017-10-27 |
| 1952827651 | Ideal Exteriors of Louisiana, Inc. | Contractor | 4131 Sterlington Rd, Monroe, LA 71201 | 2017-08-15 |
| 1760905442 | Mck's Construction Co., LLC | Contractor | 2658 George N Conner, New Orleans, LA 70119 | 2017-07-25 |
| 1811420235 | Rocky's Satellite Connection, Inc. | Contractor | 8205 Pink Graves Rd, Denham Springs, LA 70706-0503 | 2017-04-04 |
| 1174064182 | Savior Home Improvement LLC | Contractor | 6153 W Main St, Houma, LA 70360-1754 | 2017-03-10 |
| 1043752462 | 242 Construction Incorporated | Contractor | 1560 S Chateau Cir, Lake Charles, LA 70605-1342 | 2016-11-16 |
| 1003279225 | Kimberly Pace | Contractor | 8814 Veterans Memorial Blvd Ste 3-296, Metairie, LA 70003-5264 | 2016-04-04 |
| Find all providers with the same taxonomy | ||||
| City | VILLE PLATTE |
| Zip Code | 70586 |
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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.