BETHESDA ADULT DAYCARE CENTER, LLC (NPI# 1659619955) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659619955 |
| Entity Type | Organization |
| Organization Name | BETHESDA ADULT DAYCARE CENTER, LLC |
| Practice Address |
2289 Balis Dr Baton Rouge LA 70808-1742 |
| Practice Telephone | 2253034688 |
| Mailing Telephone | 2253034688 |
| Enumeration Date | 2013-01-21 |
| Last Update Date | 2013-01-21 |
| Authorized Official Name | MRS. SHARON MALLARD (OWNER) |
| Authorized Official Telephone | 2253034688 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251C00000X | Day Training, Developmentally Disabled Services | 2203781483 | LA | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 2203781483 | 05 |
| Street Address |
2289 BALIS DR |
| City | BATON ROUGE |
| State | LA |
| Zip Code | 70808-1742 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790313161 | Leah Michelle Dlugolecki | Student in an Organized Health Care Education/Training Program | Lsu Psychiatry Residency Program, 5246 Brittany Drive, Baton Rouge, LA 70808 | 2020-03-31 |
| 1003376302 | Kristina Pham | Student in an Organized Health Care Education/Training Program | 5246 Brittany Drive, 3rd Floor, Baton Rouge, LA 70808 | 2019-03-22 |
| 1083174486 | John Jay Hogan | Student in an Organized Health Care Education/Training Program | Lsu Emergency Medicine Residency Program, 5246 Brittany Drive, Baton Rouge, LA 70808 | 2019-03-21 |
| 1033682075 | Joseph Bertell Davis Jr. | Case Manager/Care Coordinator | 2460 College Drive, Baton Rouge, LA 70808 | 2019-01-02 |
| 1508340886 | Jennifer Miatech | Student in an Organized Health Care Education/Training Program | 8585 Picardy Ave., Medical Tower 2, Baton Rouge, LA 70808 | 2018-09-21 |
| 1700389137 | Jenee Robins | Case Manager/Care Coordinator | 2100 College Dr Apt 159, Baton Rouge, LA 70808 | 2018-03-12 |
| 1952812893 | Da Vonna Dents | Behavioral Analyst | 418 Stoney Creek Ave, Baton Rouge, LA 70808 | 2017-10-18 |
| 1962925669 | Katharine Elizabeth Blum | Counselor | 7936 Wrenwood Blvd. Ste A, Baton Rouge, LA 70808 | 2017-07-25 |
| 1801316120 | Amie Jackson | Social Worker | 5420 Corporate Blvd. Ste 308, Baton Rouge, LA 70808 | 2017-06-27 |
| 1235660713 | Melissa A Eddy-shelby | Student in an Organized Health Care Education/Training Program | 5000 Hennessy Blvs, Suite 6004, Baton Rouge, LA 70808 | 2017-03-25 |
| Find all providers in zip 70808 | ||||
| Taxonomy Code | 251C00000X |
| Grouping | Agencies |
| Classification | Day Training, Developmentally Disabled Services |
| These agencies are authorized to provide day habilitation services to developmentally disabled individuals who live in their homes. The function of day habilitation is to assist an individual to acquire and maintain those life skills that enable the individual to cope more effectively with the demands of independent living. Also to raise the level of the individual's physical, mental, social, and vocational functioning. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578103503 | Association Retarded Citizens Baton Rouge | Day Training, Developmentally Disabled Services | 12616 Jefferson Hwy, Baton Rouge, LA 70816-6248 | 2020-01-07 |
| 1457756736 | Jasmine Care, LLC | Day Training, Developmentally Disabled Services | 9151 Interline Ave, Suite 6b, Baton Rouge, LA 70809-1970 | 2014-10-28 |
| 1982949400 | Horizon Management LLC | Day Training, Developmentally Disabled Services | 5246 Evangeline St, Suite A, Baton Rouge, LA 70805-3637 | 2012-12-10 |
| 1497026041 | Frances Center for Customized Employment | Day Training, Developmentally Disabled Services | 9337 Corsica Ave, Baton Rouge, LA 70810-1132 | 2012-01-12 |
| 1902105414 | Natural Embraces Adult Day Care LLC | Day Training, Developmentally Disabled Services | 6081 W Perimeter Dr, Baton Rouge, LA 70811-6340 | 2011-03-23 |
| 1134384746 | Revdoc LLC | Day Training, Developmentally Disabled Services | 6844 Van Gogh Ave, Baton Rouge, LA 70806-2764 | 2008-07-23 |
| 1518137231 | Above and Beyond | Day Training, Developmentally Disabled Services | 1986 Dallas Dr Ste 3, Baton Rouge, LA 70806-1400 | 2008-03-10 |
| 1528241387 | New Life Christian Healthcare Services | Day Training, Developmentally Disabled Services | 1713 Wooddale Blvd Ste 34, Baton Rouge, LA 70806-1570 | 2007-12-14 |
| 1205018892 | Diversified Rehabilitation Service | Day Training, Developmentally Disabled Services | 11760 S Harrells Ferry Rd, Ste G, Baton Rouge, LA 70816-2374 | 2007-12-05 |
| 1407036379 | Diversified Rehabilitation Service | Day Training, Developmentally Disabled Services | 19637 Cape Hart Ct, Baton Rouge, LA 70809-6727 | 2007-11-08 |
| Find all providers in BATON ROUGE | ||||
| City | BATON ROUGE |
| Zip Code | 70808 |
Please comment or provide details below to improve the information on BETHESDA ADULT DAYCARE CENTER, LLC.
| 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.